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General NPI Number Information
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NPI Number | 1871039495
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Entity Type | Organization
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Legal Business Name | LORINDA SUTHERS-SALBEGO, LCPC LLC
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Dates
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Enumeration Date | 01/07/2017
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Last Update Date | 01/07/2017
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 1207
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 630-468-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE SUITE 1207
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 630-468-0073
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | LORINDA SUTHERS-SALBEGO
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Credential |
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Telephone | 630-468-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180007565
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License Number State | IL
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