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General NPI Number Information
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NPI Number | 1871228601
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Entity Type | Organization
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Legal Business Name | MELINDA MCDONALD, LMFT PLLC
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Dates
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Enumeration Date | 07/17/2022
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 3501 N SOUTHPORT AVE UNIT 514
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City | CHICAGO
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State | IL
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Zip | 60657-1475
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Country | US
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Telephone | 773-750-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 N SOUTHPORT AVE UNIT 514
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City | CHICAGO
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State | IL
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Zip | 60657-1475
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Country | US
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Telephone | 773-750-3600
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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 | MELINDA E MCDONALD
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Credential | LMFT
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Telephone | 773-750-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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