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General NPI Number Information
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NPI Number | 1902561269
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Entity Type | Organization
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Legal Business Name | SPRING COUNSELING, PLLC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 2000 N RACINE AVE STE 2040
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City | CHICAGO
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State | IL
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Zip | 60614-7006
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Country | US
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Telephone | 773-715-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 N RACINE AVE STE 2040
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City | CHICAGO
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State | IL
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Zip | 60614-7006
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Country | US
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Telephone | 773-715-1676
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ALLYSON WOLCOTT
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Credential | LCPC
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Telephone | 773-715-1676
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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 |
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License Number State |
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