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General NPI Number Information
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NPI Number | 1669004990
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Entity Type | Organization
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Legal Business Name | GUIDANCE PLUS COUNSELING
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 7437 W 60TH PL
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City | SUMMIT
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State | IL
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Zip | 60501-1513
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Country | US
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Telephone | 708-552-0325
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Fax |
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Provider Business Mailing Address
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Address Line | 16418 PEPPERWOOD TRL
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City | ORLAND HILLS
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State | IL
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Zip | 60487-5644
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Country | US
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Telephone | 708-802-1407
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | MICHEAL SENDOWSKI
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Credential | LCSW
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Telephone | 708-552-0325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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