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General NPI Number Information
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NPI Number | 1700910551
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Entity Type | Individual
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Provider Name | KAREN FRETZIN LCPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 778 W FRONTAGE RD SUITE 113
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City | NORTHFIELD
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State | IL
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Zip | 60093-1209
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Country | US
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Telephone | 847-784-6953
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Fax | 847-784-8068
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Provider Business Mailing Address
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Address Line | 778 W FRONTAGE RD SUITE 113
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City | NORTHFIELD
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State | IL
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Zip | 60093-1209
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Country | US
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Telephone | 847-784-6953
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Fax | 847-784-8068
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180002475
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License Number State | IL
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