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General NPI Number Information
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NPI Number | 1861359648
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Entity Type | Organization
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Legal Business Name | TOPANGA TRAUMA THERAPY, PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 550 W FRONTAGE RD STE 3747
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City | NORTHFIELD
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State | IL
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Zip | 60093-1289
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Country | US
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Telephone | 847-242-1229
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W FRONTAGE RD STE 3747
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City | NORTHFIELD
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State | IL
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Zip | 60093-1289
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Country | US
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Telephone | 847-242-1229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA WINTROUB
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Credential | LCPC
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Telephone | 847-242-1229
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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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