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NPI Code Detail

MEDICARE: KATE FARRELL LCPC

MEDICARE: KATE FARRELL 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 Counselor180009621IL

General Provider Information

NPI Number : 1366828261
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE FARRELL LCPC
Provider Business Mailing Address
First Line : 400 N MICHIGAN
Second Line : STE 1110
City : CHICAGO
State : IL
Zip : 60611
Country : US
Telephone Number : 312-285-2217
Fax Number :
Provider Business Practice Location Address
First Line : 400 N MICHIGAN AVE STE 1110
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4161
Country : US
Telephone Number : 312-285-2217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 07/21/2022

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Directions to “ KATE FARRELL LCPC” Practice Location

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