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General NPI Number Information
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NPI Number | 1841142353
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Entity Type | Individual
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Provider Name | REESE ARMSTRONG
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Gender |
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 801 N WALNUT ST
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3055
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Country | US
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Telephone | 888-928-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 903 N LINCOLN AVE APT 103
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City | URBANA
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State | IL
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Zip | 61801-1674
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADC-45420
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.119236
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License Number State | IL
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