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General NPI Number Information
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NPI Number | 1841694700
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Entity Type | Individual
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Provider Name | CHRISTINA MICHELLE ZIVEC M.A, LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 203 W 20TH ST
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City | MARION
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State | IN
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Zip | 46953-3012
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Country | US
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Telephone | 630-379-1602
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Fax | 815-929-1284
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Provider Business Mailing Address
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Address Line | 203 W 20TH ST
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City | MARION
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State | IN
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Zip | 46953-3012
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Country | US
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Telephone | 630-379-1602
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Fax | 815-929-1284
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.009737
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 03778
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3751
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39004980A
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License Number State | IN
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