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General NPI Number Information
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NPI Number | 1689415564
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Entity Type | Organization
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Legal Business Name | WANDERLUST WELLNESS COUNSELING LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 305 E SHORT DR
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City | COAL CITY
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State | IL
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Zip | 60416-4108
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Country | US
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Telephone | 815-600-1353
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E SHORT DR
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City | COAL CITY
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State | IL
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Zip | 60416-4108
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Country | US
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Telephone | 815-600-1353
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Fax |
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Authorized Official
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Title or Position | OWNER, LCPC/PSYCHOTHERAPIST
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Name | ELIZABETH M LETTERLE
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Credential | MA, LCPC, PEL
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Telephone | 815-600-1353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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