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General NPI Number Information
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NPI Number | 1770396426
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Entity Type | Individual
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Provider Name | LEAH DELORES FARR-FIELDS LPC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 6500 W COLLEGE DR STE 2-2NE
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1773
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Country | US
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Telephone | 708-929-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 7719 163RD PL
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City | TINLEY PARK
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State | IL
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Zip | 60477-1436
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Country | US
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Telephone | 708-717-5671
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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 | 178.021092
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License Number State | IL
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