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General NPI Number Information
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NPI Number | 1831502749
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Entity Type | Individual
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Provider Name | JILLIAN MCNAMARA LPC, NCSP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 121 N WASHINGTON ST STE 150
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-267-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 121 N WASHINGTON ST STE 150
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City | NAPERVILLE
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State | IL
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Zip | 60540-4559
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Country | US
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Telephone | 630-640-5013
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1908622
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178003553
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License Number State | IL
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