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General NPI Number Information
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NPI Number | 1750238143
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Entity Type | Individual
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Provider Name | LISETTE MELENDRES LPC
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Gender |
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 770 N HALSTED ST STE 105
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City | CHICAGO
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State | IL
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Zip | 60642-7886
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Country | US
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Telephone | 312-626-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 770 N HALSTED ST STE 105
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City | CHICAGO
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State | IL
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Zip | 60642-7886
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Country | US
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Telephone | 312-626-7401
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208011653
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License Number State | IL
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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 | 178022880
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License Number State | IL
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