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General NPI Number Information
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NPI Number | 1013621804
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Entity Type | Organization
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Legal Business Name | THE ATT CENTER LTD
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 3311 PACKERLAND DR STE A10
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City | DE PERE
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State | WI
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Zip | 54115-2707
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Country | US
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Telephone | 920-264-0996
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Fax | 920-932-3114
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Provider Business Mailing Address
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Address Line | 3252 CHARDONNAY CT
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City | GREEN BAY
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State | WI
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Zip | 54301-1461
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Country | US
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Telephone | 920-360-7787
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Fax |
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Authorized Official
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Title or Position | OFFICER/OWNER
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Name | BRITTANY BERKOVITZ
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Credential | LPC
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Telephone | 920-360-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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