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General NPI Number Information
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NPI Number | 1639064587
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Entity Type | Organization
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Legal Business Name | EMERGENT SELF COUNSELING SERVICES INC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 309 GEORGE ST
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City | BENSENVILLE
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State | IL
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Zip | 60106-3190
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Country | US
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Telephone | 872-238-0927
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Fax |
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Provider Business Mailing Address
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Address Line | 309 GEORGE ST
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City | BENSENVILLE
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State | IL
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Zip | 60106-3190
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Country | US
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Telephone | 872-238-0927
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Fax |
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Authorized Official
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Title or Position | LCPC, AUTHORIZED OFFICIAL
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Name | LUIS A COURET JR.
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Credential | LCPC
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Telephone | 872-238-0927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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