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General NPI Number Information
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NPI Number | 1922720770
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Entity Type | Organization
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Legal Business Name | RTS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 655 W LINCOLN AVE STE 8
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City | CHARLESTON
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State | IL
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Zip | 61920-2461
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Country | US
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Telephone | 224-577-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 578 JAMES DR
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City | CHARLESTON
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State | IL
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Zip | 61920-1862
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Country | US
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Telephone | 224-577-8840
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/PROFESSIONAL
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Name | DAVID JEDIDIAH EHLERS
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Credential | LCPC
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Telephone | 224-577-8840
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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 |
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License Number State |
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