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General NPI Number Information
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NPI Number | 1912603499
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Entity Type | Individual
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Provider Name | JESSICA CHRISTENSON KAMINSKY MA, LCPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 9501 W 144TH PL STE 304
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City | ORLAND PARK
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State | IL
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Zip | 60462-2564
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Country | US
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Telephone | 708-628-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 671 TALCOTT AVE
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City | LEMONT
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State | IL
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Zip | 60439-2713
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Country | US
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Telephone | 630-408-8129
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 178.017378
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.017331
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License Number State | IL
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