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NPI Code Detail

MEDICARE: MS. ABIGAIL JOANN PATRICK LPC-IT

MEDICARE: MS. ABIGAIL JOANN PATRICK LPC-IT
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 Counselor9000-226WI

General Provider Information

NPI Number : 1427982040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ABIGAIL JOANN PATRICK LPC-IT
Provider Business Mailing Address
First Line : 17 S RIVER ST STE 254
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number :
Provider Business Practice Location Address
First Line : 17 S RIVER ST STE 254
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-3863
Country : US
Telephone Number : 608-755-5260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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