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General NPI Number Information
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NPI Number | 1821255290
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Entity Type | Organization
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Legal Business Name | AWARENESS, INC.
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 110 MOONEY DR SUITE 1
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2171
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Country | US
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Telephone | 815-370-2020
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Fax | 815-937-6905
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Provider Business Mailing Address
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Address Line | 110 MOONEY DR SUITE 1
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2171
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Country | US
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Telephone | 815-370-2020
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Fax | 815-937-6905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CELIA LYN STOLTZ
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Credential | LCPC
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Telephone | 815-370-2020
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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 | 180-002919
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License Number State | IL
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