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General NPI Number Information
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NPI Number | 1982741344
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Entity Type | Individual
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Provider Name | VIRGINIA MARIA MEJIA LCSW CADC MISA II
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1275 W ROOSEVELT RD SUITE 114
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City | WEST CHICAGO
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State | IL
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Zip | 60185
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Country | US
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Telephone | 630-231-3554
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Fax | 630-231-3828
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Provider Business Mailing Address
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Address Line | 1275 W ROOSEVELT RD SUITE 114
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City | WEST CHICAGO
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State | IL
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Zip | 60185
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Country | US
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Telephone | 630-231-3554
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Fax | 630-231-3828
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13447
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13447
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | IL
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