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General NPI Number Information
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NPI Number | 1861033268
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PERSPECTIVES COUNSELING AND CONSULTING PC
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 2109 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3923
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Country | US
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Telephone | 312-544-9343
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Fax | 312-253-1404
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Provider Business Mailing Address
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Address Line | 2109 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3923
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Country | US
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Telephone | 312-544-9343
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Fax | 312-253-1404
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA URSETTO
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Credential | MA LCPC
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Telephone | 312-544-9343
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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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