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General NPI Number Information
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NPI Number | 1710784467
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Entity Type | Organization
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Legal Business Name | CONSILIUM COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 3001 KENSINGTON AVE
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City | WESTCHESTER
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State | IL
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Zip | 60154-3983
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Country | US
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Telephone | 630-210-4813
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 KENSINGTON AVE
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City | WESTCHESTER
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State | IL
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Zip | 60154-3983
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Country | US
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Telephone | 630-210-4813
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Fax |
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Authorized Official
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Title or Position | OWNER; THERAPIST
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Name | TIFFANY HOAG
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Credential | LCPC
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Telephone | 630-210-4813
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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