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General NPI Number Information
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NPI Number | 1679824577
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Entity Type | Organization
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Legal Business Name | BRENNAN COUNSELING, P.C.
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 1608 W COLONIAL PKWY SUITE 205
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City | INVERNESS
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State | IL
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Zip | 60067-4755
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Country | US
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Telephone | 847-309-0972
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Fax | 847-241-0203
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Provider Business Mailing Address
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Address Line | 101 BAYVIEW RD
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City | FOX RIVER GROVE
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State | IL
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Zip | 60021-1501
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Country | US
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Telephone | 847-309-0972
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Fax | 847-241-0203
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Authorized Official
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Title or Position | DIRECTOR
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Name | QUINN BRENNAN
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Credential | L.C.P.C.
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Telephone | 847-309-0972
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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 | 180-006652
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License Number State | IL
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