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General NPI Number Information
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NPI Number | 1720707821
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Entity Type | Individual
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Provider Name | KAYLIN MCKELLA THOMPSON LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1000 JORIE BLVD STE 36
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City | OAK BROOK
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State | IL
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Zip | 60523-4501
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Country | US
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Telephone | 630-560-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 616 E LIBERTY DR
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City | WHEATON
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State | IL
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Zip | 60187-5515
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Country | US
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Telephone | 318-609-2631
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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 | 180.017034
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License Number State | IL
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