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General NPI Number Information
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NPI Number | 1699265918
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Entity Type | Organization
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Legal Business Name | DBT THERAPY AND CONSULTING
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1601
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City | CHICAGO
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State | IL
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Zip | 60602-1882
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Country | US
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Telephone | 781-635-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 W THOMAS ST
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City | CHICAGO
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State | IL
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Zip | 60642-8585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTORIA KESSINGER
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Credential |
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Telephone | 781-635-0707
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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 | 180010904
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License Number State | IL
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