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General NPI Number Information
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NPI Number | 1730434945
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Entity Type | Individual
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Provider Name | PATRICIA WITVOET LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 15020 S RAVINIA AVE SUITE 23
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City | ORLAND PARK
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State | IL
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Zip | 60462-3166
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Country | US
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Telephone | 708-793-0840
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Fax | 844-798-8931
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Provider Business Mailing Address
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Address Line | 15826 S LA GRANGE ROAD #223
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City | ORLAND PARK
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State | IL
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Zip | 60462-4766
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Country | US
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Telephone | 708-793-0840
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Fax | 844-798-8931
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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 | 180008196
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License Number State | IL
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