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NPI 1831062744

NPI 1831062744 : INDIGO BUTTERFLY COUNSELING AND WELLNESS PLLC : KANKAKEE, IL

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General NPI Number Information
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    NPI Number           |    1831062744
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    Entity Type          |    Organization 
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    Legal Business Name  |    INDIGO BUTTERFLY COUNSELING AND WELLNESS PLLC 
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Dates
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    Enumeration Date     |    09/26/2025
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    2 ELMWOOD DR 
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    City                 |    KANKAKEE
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    State                |    IL
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    Zip                  |    60901-5909
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    Country              |    US
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    Telephone            |    708-268-3177
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    Fax                  |    708-268-3177
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Provider Business Mailing Address
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    Address Line         |    2 ELMWOOD DR 
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    City                 |    KANKAKEE
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    State                |    IL
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    Zip                  |    60901-5909
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    Country              |    US
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    Telephone            |    708-268-3177
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    Fax                  |    708-268-3177
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Authorized Official
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    Title or Position    |    OWNER/LCPC
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    Name                 |    MRS. DANA LEONA PALERMO 
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    Credential           |    LCPC
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    Telephone            |    708-268-3177
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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 |    
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