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General NPI Number Information
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NPI Number | 1629837430
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Entity Type | Organization
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Legal Business Name | VENCES COUNSELING PLLC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 119 E PALATINE RD STE 207
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City | PALATINE
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State | IL
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Zip | 60067-5132
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Country | US
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Telephone | 847-450-6190
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Fax | 847-450-6197
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Provider Business Mailing Address
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Address Line | 119 E PALATINE RD STE 207
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City | PALATINE
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State | IL
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Zip | 60067-5132
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Country | US
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Telephone | 847-450-6190
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | INDIRA VENCES
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Credential | LCSW
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Telephone | 847-450-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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