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NPI Code Detail

MEDICARE: STEPHANIE LYNN KARLS

MEDICARE: STEPHANIE LYNN KARLS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor21051-130WI

General Provider Information

NPI Number : 1477410694
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LYNN KARLS
Provider Business Mailing Address
First Line : 6233 39TH AVE
Second Line :
City : KENOSHA
State : WI
Zip : 53142-7015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2108 63RD ST
Second Line :
City : KENOSHA
State : WI
Zip : 53143-4454
Country : US
Telephone Number : 262-652-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ STEPHANIE LYNN KARLS ” Practice Location

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