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General NPI Number Information
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NPI Number | 1912173493
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS CLINICIAL THERAPY
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 1601 BOND ST SUITE 300
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City | NAPERVILLE
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State | IL
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Zip | 60563-0113
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Country | US
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Telephone | 630-995-9560
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Fax | 630-689-9100
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Provider Business Mailing Address
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Address Line | 1601 BOND ST SUITE 300
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City | NAPERVILLE
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State | IL
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Zip | 60563-0113
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Country | US
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Telephone | 630-995-9560
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Fax | 630-689-9100
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ALLISON AVERY COTTON
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Credential | LCSW
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Telephone | 630-995-9560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149009974
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License Number State | IL
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