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General NPI Number Information
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NPI Number | 1649037987
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Entity Type | Organization
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Legal Business Name | ABIGAIL MITCHELL LCPC LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1900 OGDEN AVE STE 106
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City | AURORA
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State | IL
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Zip | 60504-4284
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Country | US
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Telephone | 815-370-5212
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Fax | 630-256-8009
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Provider Business Mailing Address
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Address Line | 461 BRECKENRIDGE DR
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City | AURORA
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State | IL
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Zip | 60504-5265
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Country | US
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Telephone | 815-370-5212
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Fax |
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Authorized Official
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Title or Position | LICENSED COUNSELOR
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Name | ABIGAIL L MITCHELL-LOCKWOOD
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Credential | LCPC
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Telephone | 815-370-5212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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