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General NPI Number Information
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NPI Number | 1669083846
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Entity Type | Individual
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Provider Name | ADRIANNA DEERING LPC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE STE 444
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City | CHICAGO
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State | IL
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Zip | 60601-7511
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Country | US
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Telephone | 312-278-3054
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Fax |
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Provider Business Mailing Address
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Address Line | 4816 N HERMITAGE AVE APT 3F
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City | CHICAGO
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State | IL
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Zip | 60640-4102
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Country | US
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Telephone | 630-788-8038
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 178.015452
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License Number State | IL
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