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General NPI Number Information
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NPI Number | 1891555728
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Entity Type | Organization
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Legal Business Name | CENTER FOR EMOTIONAL RESILIENCE
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 300 E 5TH AVE STE 235
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City | NAPERVILLE
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State | IL
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Zip | 60563-3194
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Country | US
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Telephone | 708-888-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 4147 S ELLIS AVE UNIT 2N
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City | CHICAGO
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State | IL
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Zip | 60653-3073
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Country | US
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Telephone | 630-640-4169
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VERNALYNNE DE LA ROSA
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Credential | LMFT
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Telephone | 708-888-4041
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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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