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General NPI Number Information
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NPI Number | 1669964920
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Entity Type | Organization
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Legal Business Name | VORHEES WELLNESS CENTER
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Dates
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Enumeration Date | 06/03/2018
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 11493 RIESS RD
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City | MASCOUTAH
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State | IL
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Zip | 62258-3741
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Country | US
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Telephone | 618-789-6029
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Fax |
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Provider Business Mailing Address
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Address Line | 11493 RIESS RD
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City | MASCOUTAH
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State | IL
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Zip | 62258-3741
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Country | US
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Telephone | 618-789-6029
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNIPHER VORHEES
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Credential | LCPC
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Telephone | 618-789-6029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 180007581
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180007581
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License Number State | IL
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