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General NPI Number Information
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NPI Number | 1629529979
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING SERVICE
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 18718 RAVEN HILLS DR
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City | MARENGO
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State | IL
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Zip | 60152-4301
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Country | US
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Telephone | 630-945-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 18718 RAVEN HILLS DR
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City | MARENGO
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State | IL
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Zip | 60152-4301
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Country | US
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Telephone | 630-945-8685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD DAMIANI
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Credential | LCPC
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Telephone | 570-479-2652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.009740
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License Number State | IL
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