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General NPI Number Information
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NPI Number | 1710622303
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Entity Type | Organization
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Legal Business Name | FAMILY MATTERS THERAPY, PLLC
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 460 WINNETKA AVENUE SUITE 3
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City | WINNETKA
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State | IL
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Zip | 60093
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Country | US
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Telephone | 773-425-1905
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Fax |
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Provider Business Mailing Address
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Address Line | 426 MADISON AVENUE
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City | GLENCOE
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State | IL
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Zip | 60022
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Country | US
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Telephone | 773-425-1905
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | WENDY JOY COHEN
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Credential | LCPC
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Telephone | 773-425-1905
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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 | 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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