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NPI 1750688891

NPI 1750688891 : SOPHIA PAPAGEORGE-KARVELAS LCPC : OAK BROOK, IL

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General NPI Number Information
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    NPI Number           |    1750688891
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    Entity Type          |    Individual 
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    Provider Name        |    SOPHIA PAPAGEORGE-KARVELAS LCPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/25/2011
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    Last Update Date     |    12/20/2023
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Provider Practice Location Address
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    Address Line         |    1010 JORIE BLVD STE 112 
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    City                 |    OAK BROOK
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    State                |    IL
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    Zip                  |    60523-4446
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    Country              |    US
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    Telephone            |    630-570-0502
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    Fax                  |    630-541-8646
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Provider Business Mailing Address
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    Address Line         |    3501 POMEROY CT 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-1321
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    Country              |    US
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    Telephone            |    708-536-8834
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    178.006770
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    180.009314
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    License Number State |    IL
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