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General NPI Number Information
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NPI Number | 1831836576
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Entity Type | Organization
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Legal Business Name | JOANLI COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 05/15/2022
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Last Update Date | 05/15/2022
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Provider Practice Location Address
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Address Line | 10526 W CERMAK RD STE 305
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City | WESTCHESTER
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State | IL
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Zip | 60154-5243
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Country | US
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Telephone | 224-325-5736
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Fax | 708-575-6527
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Provider Business Mailing Address
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Address Line | 10526 W CERMAK RD STE 305
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City | WESTCHESTER
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State | IL
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Zip | 60154-5243
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Country | US
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Telephone | 224-325-5736
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Fax | 708-575-6527
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | KARLA MARIA LAGOS
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Credential | LCSW
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Telephone | 224-325-5736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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