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General NPI Number Information
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NPI Number | 1861004608
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Entity Type | Organization
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Legal Business Name | ARTFUL GROWTH COUNSELING PLLC
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Dates
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Enumeration Date | 08/22/2020
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 3759 N RAVENSWOOD AVE STE 132
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City | CHICAGO
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State | IL
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Zip | 60613-3997
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Country | US
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Telephone | 773-704-3719
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Fax |
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Provider Business Mailing Address
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Address Line | 3759 N RAVENSWOOD AVE STE 132
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City | CHICAGO
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State | IL
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Zip | 60613-3997
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Country | US
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Telephone | 773-704-3719
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ANDREA LYNN PICARD
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Credential | LCPC, ATR
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Telephone | 773-704-3719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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