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General NPI Number Information
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NPI Number | 1881607331
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Entity Type | Organization
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Legal Business Name | SCM CONSULTING GROUP, INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17050 S PARK AVE SUITE B-2
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-3374
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Country | US
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Telephone | 312-635-1400
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Fax | 312-635-1400
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Provider Business Mailing Address
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Address Line | PO BOX 5735
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City | RIVER FOREST
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State | IL
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Zip | 60305-5735
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Country | US
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Telephone | 312-635-1400
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Fax | 312-635-1400
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | CALVIN YOUNG
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Credential | LCPC
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Telephone | 312-635-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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