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General NPI Number Information
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NPI Number | 1942123807
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Entity Type | Organization
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Legal Business Name | FAMILY GUIDANCE CENTERS, INC.
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 1221 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2231
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Country | US
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Telephone | 815-972-1063
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61104-2231
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Country | US
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Telephone | 815-972-1063
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP
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Name | BRIAN NOTTAGE
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Credential | MA, LPC, NCC
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Telephone | 312-943-6545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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