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General NPI Number Information
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NPI Number | 1720728132
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Entity Type | Organization
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Legal Business Name | MELANIE LERCHEN, PSYCHOTHERAPIST, LCPC, PLLC
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 1286 N MILWAUKEE AVE # 8
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City | CHICAGO
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State | IL
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Zip | 60622-9319
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Country | US
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Telephone | 206-734-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 2665 HILLSIDE LN
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City | EVANSTON
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State | IL
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Zip | 60201-4933
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Country | US
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Telephone | 206-734-0266
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MELANIE LERCHEN
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Credential | LCPC
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Telephone | 206-734-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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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