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General NPI Number Information
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NPI Number | 1699191544
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Entity Type | Individual
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Provider Name | CHAD GRIFFIN LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 1555 NAPERVILLE WHEATON RD STE 207
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 630-730-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 CREEKSIDE DR APT 2-1
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City | WHEATON
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State | IL
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Zip | 60189-7152
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Country | US
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Telephone | 630-730-6197
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 180010220
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License Number State | IL
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