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General NPI Number Information
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NPI Number | 1962415406
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Entity Type | Individual
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Provider Name | PAULETTE R. EASON-WILLIAMS LCPC, CADC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 1222 W. 95TH ST
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City | CHICAGO
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State | IL
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Zip | 60643
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Country | US
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Telephone | 773-238-5555
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Fax | 773-238-5533
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Provider Business Mailing Address
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Address Line | 1708 W. BEVERLY GLEN PKWY
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City | CHICAGO
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State | IL
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Zip | 60643
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Country | US
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Telephone | 773-238-5555
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Fax | 773-238-5533
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180-005158
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13958
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License Number State | IL
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