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General NPI Number Information
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NPI Number | 1740089325
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Entity Type | Organization
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Legal Business Name | KINDSET COUNSELING, PLLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 601 SKOKIE BLVD STE 307
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City | NORTHBROOK
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State | IL
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Zip | 60062-2819
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Country | US
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Telephone | 224-300-0965
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Fax |
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Provider Business Mailing Address
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Address Line | 31 FILLMORE LN
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City | STREAMWOOD
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State | IL
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Zip | 60107-1381
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Country | US
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Telephone | 224-300-0965
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LINDSAY DIPASQUALE VALIPOUR
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Credential | LCPC
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Telephone | 224-300-0965
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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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