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General NPI Number Information
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NPI Number | 1871043364
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Entity Type | Organization
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Legal Business Name | PADILLA COUNSELING, LTD.
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 125 WINDSOR DR 113
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City | OAK BROOK
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State | IL
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Zip | 60523-1536
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Country | US
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Telephone | 708-435-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 125 WINDSOR DR 113
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City | OAK BROOK
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State | IL
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Zip | 60523-1536
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Country | US
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Telephone | 708-435-9224
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KRISTY V PADILLA
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Credential | LCPC
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Telephone | 708-435-9224
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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 | 180008321
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License Number State | IL
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