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General NPI Number Information
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NPI Number | 1679698526
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Entity Type | Organization
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Legal Business Name | ACCENT COUNSELING LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1207 S MATTIS AVE SUITE 4
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City | CHAMPAIGN
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State | IL
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Zip | 61821-4861
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Country | US
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Telephone | 217-398-8067
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 S MATTIS AVE SUITE 4
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City | CHAMPAIGN
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State | IL
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Zip | 61821-4861
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Country | US
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Telephone | 217-398-8067
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN L CULLOP
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Credential | LCPC
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Telephone | 217-398-8067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5466-0001
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License Number State | IL
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Taxonomy #2
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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 | IL
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Taxonomy #3
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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 | IL
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