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General NPI Number Information
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NPI Number | 1750871919
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Entity Type | Organization
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Legal Business Name | DRAW TOGETHER, INC.
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 1213 WILMETTE AVE STE 200
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City | WILMETTE
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State | IL
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Zip | 60091-2566
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Country | US
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Telephone | 847-254-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 ELMWOOD AVE APT 3W
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City | EVANSTON
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State | IL
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Zip | 60202-1269
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Country | US
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Telephone | 847-721-8834
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE HAZELETT
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Credential | LCPC, ATR
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Telephone | 847-254-4550
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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 | 180004922
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License Number State | IL
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