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General NPI Number Information
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NPI Number | 1770383929
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Entity Type | Organization
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Legal Business Name | SOLRISE COUNSELING, PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 3023 N CLARK ST # 131
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 708-792-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 3023 N CLARK ST # 131
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 708-792-0733
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Fax |
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | PRISCILLA R DE LLOVIO
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Credential | LMFT
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Telephone | 309-856-0001
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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 |
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License Number State |
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