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General NPI Number Information
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NPI Number | 1679288633
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Entity Type | Organization
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Legal Business Name | COURTNEY L. EMERY COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 705 REBA PL
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City | EVANSTON
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State | IL
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Zip | 60202-2616
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Country | US
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Telephone | 414-324-1024
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Fax |
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Provider Business Mailing Address
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Address Line | 705 REBA PL
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City | EVANSTON
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State | IL
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Zip | 60202-2616
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Country | US
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Telephone | 414-324-1024
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COURTNEY EMERY
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Credential | MA, LCPC
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Telephone | 414-324-1024
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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 |
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License Number State |
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