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General NPI Number Information
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NPI Number | 1821200486
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Entity Type | Organization
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Legal Business Name | LISA M. JOSWICK, LCPC, PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9631 W 153RD ST SUITE 38
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City | ORLAND PARK
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State | IL
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Zip | 60462-3774
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Country | US
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Telephone | 815-609-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 9631 W 153RD ST SUITE 38
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City | ORLAND PARK
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State | IL
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Zip | 60462-3774
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Country | US
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Telephone | 815-609-5207
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL CLINICAL COUNSELOR
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Name | LISA M JOSWICK
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Credential | L.C.P.C.
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Telephone | 815-609-5207
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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 |
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License Number State | IL
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