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General NPI Number Information
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NPI Number | 1750028841
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Entity Type | Organization
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Legal Business Name | REFLECTION IS HEALING COUNSELING SERVICES
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 215 W ELM ST STE 100A
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City | SYCAMORE
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State | IL
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Zip | 60178-1858
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Country | US
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Telephone | 773-939-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 104 E STATE ST UNIT 767
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City | SYCAMORE
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State | IL
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Zip | 60178-3524
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Country | US
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Telephone | 773-939-2613
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | SIERA PHILLIPS
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Credential | M.S.ED.,LCPC
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Telephone | 773-939-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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