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NPI Code Detail

MEDICARE: DENISE ASCOLESI MA, LCPC

MEDICARE:   DENISE  ASCOLESI  MA, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.008330IL

General Provider Information

NPI Number : 1184985038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ASCOLESI MA, LCPC
Provider Business Mailing Address
First Line : 1040 W GRANVILLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-5200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W GRANVILLE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-5200
Country : US
Telephone Number : 773-931-7109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 09/22/2012

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Directions to “ DENISE ASCOLESI MA, LCPC” Practice Location

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