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General NPI Number Information
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NPI Number | 1851726855
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Entity Type | Organization
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Legal Business Name | DIRECTIONS COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 475 DUNHAM RD STE 1E
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City | ST CHARLES
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State | IL
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Zip | 60174-1498
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Country | US
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Telephone | 630-492-1493
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Fax |
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Provider Business Mailing Address
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Address Line | 475 DUNHAM RD STE 1E
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City | ST CHARLES
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State | IL
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Zip | 60174-1498
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Country | US
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Telephone | 630-492-1493
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | LISA HERMAN
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Credential | LCSW
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Telephone | 630-492-1493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 149010009
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License Number State | IL
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