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General NPI Number Information
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NPI Number | 1972080935
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Entity Type | Individual
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Provider Name | VICTORIA DAWN STOKLOSA-CALDWELL LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 20550 S LAGRANGE RD STE 105
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City | FRANKFORT
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State | IL
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Zip | 60423-1273
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Country | US
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Telephone | 847-868-3435
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Fax | 847-859-5885
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Provider Business Mailing Address
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Address Line | 20550 N LAGRANGE RD STE 105
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City | FRANKFORT
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State | IL
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Zip | 60423-1273
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Country | US
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Telephone | 888-428-7890
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Fax | 847-428-7891
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.015042
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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 | 180.015042
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License Number State | IL
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