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General NPI Number Information
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NPI Number | 1821717026
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Entity Type | Individual
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Provider Name | HALEY BRIANA ROBBINS LCSW, PMH-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 802 BACON ST
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City | PEKIN
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State | IL
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Zip | 61554-4534
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Country | US
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Telephone | 309-863-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 802 BAON ST.
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City | PEKIN
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State | IL
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Zip | 61554
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Country | US
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Telephone | 309-219-5057
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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 |
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License Number State |
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