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General NPI Number Information
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NPI Number | 1861288060
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Entity Type | Organization
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Legal Business Name | ROSSBACH COUNSELING
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1802 CYPRESS POINTE CT
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City | MAHOMET
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State | IL
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Zip | 61853-3671
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Country | US
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Telephone | 217-331-6380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | MAHOMET
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State | IL
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Zip | 61853-0116
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Country | US
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Telephone | 217-331-6380
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Fax |
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Authorized Official
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Title or Position | OWNER, LCPC
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Name | BRIANNA ROSSBACH
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Credential | MS, LCPC
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Telephone | 217-331-6380
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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 |
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License Number State |
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