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General NPI Number Information
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NPI Number | 1639547342
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Entity Type | Organization
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Legal Business Name | C.B. COUNSELING, INC.
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 106 S LINCOLNWAY STE F
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City | NORTH AURORA
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State | IL
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Zip | 60542-1597
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Country | US
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Telephone | 630-533-6007
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Fax | 630-801-1675
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Provider Business Mailing Address
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Address Line | 900 DEARBORN CIR
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City | CAROL STREAM
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State | IL
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Zip | 60188-9312
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Country | US
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Telephone | 630-533-6007
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Fax | 630-801-1675
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MS. CHRISTINE ANN BARKER
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Credential | M.A., LCPC
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Telephone | 630-533-6007
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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 | 180.008562
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License Number State | IL
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