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NPI 1902569270

NPI 1902569270 : HOLLY KATZ COUNSELING PLLC : RIVERWOODS, IL

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General NPI Number Information
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    NPI Number           |    1902569270
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOLLY KATZ COUNSELING PLLC 
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Dates
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    Enumeration Date     |    10/14/2021
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    Last Update Date     |    07/27/2022
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Provider Practice Location Address
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    Address Line         |    2416 SPYGLASS HILL CT 
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    City                 |    RIVERWOODS
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    State                |    IL
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    Zip                  |    60015-3862
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    Country              |    US
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    Telephone            |    847-452-7554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2416 SPYGLASS HILL CT 
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    City                 |    RIVERWOODS
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    State                |    IL
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    Zip                  |    60015-3862
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    Country              |    US
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    Telephone            |    847-452-7554
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/COUNSELOR
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    Name                 |     HOLLY  KATZ 
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    Credential           |    IL LCPC, CO LPC
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    Telephone            |    847-452-7554
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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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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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