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NPI 1821786120

NPI 1821786120 : BRITTANY WILSON LPC : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1821786120
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY WILSON LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/26/2023
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    Last Update Date     |    02/13/2026
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Provider Practice Location Address
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    Address Line         |    111 N WABASH AVE STE 100 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60602-1903
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    Country              |    US
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    Telephone            |    888-825-8680
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2035 S. STATE ST. PO BOX 16015 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60616
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    Country              |    US
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    Telephone            |    
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    180.017893
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    License Number State |    IL
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