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General NPI Number Information
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NPI Number | 1720838378
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Entity Type | Organization
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Legal Business Name | COGNITIVELY CONSCIOUS COUNSELING, INC.
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 954 DEARBORN CIR
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City | CAROL STREAM
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State | IL
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Zip | 60188-9369
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Country | US
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Telephone | 913-608-6554
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Fax |
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Provider Business Mailing Address
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Address Line | 954 DEARBORN CIR
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City | CAROL STREAM
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State | IL
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Zip | 60188-9369
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAZEL PATEL
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Credential | LPC
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Telephone | 913-608-6554
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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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