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General NPI Number Information
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NPI Number | 1689562472
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Entity Type | Organization
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Legal Business Name | SCHUBACH COUNESLING, CONSULTING & TRAINING PLLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 4507 N STERLING AVE SUITE 210
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City | PEORIA
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State | IL
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Zip | 61615-3861
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Country | US
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Telephone | 309-657-1246
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 W MOSS AVE
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City | PEORIA
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State | IL
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Zip | 61606-1639
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Country | US
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Telephone | 309-360-3108
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Fax | 309-360-3108
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | SAMANTHA LOUISE SCHUBACH
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Credential | LCPC
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Telephone | 309-360-3108
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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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