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General NPI Number Information
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NPI Number | 1033343868
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Entity Type | Organization
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Legal Business Name | HORIZONS, INC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 2511 W VINE ST
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City | MILWAUKEE
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State | WI
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Zip | 53205-1450
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Country | US
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Telephone | 414-342-3237
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Fax | 414-342-3258
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Provider Business Mailing Address
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Address Line | 2511 W VINE ST
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City | MILWAUKEE
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State | WI
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Zip | 53205-1450
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Country | US
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Telephone | 414-342-3237
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Fax | 414-342-3258
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Authorized Official
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Title or Position | DIRECTOR OF OUTPATIENT SERVICES
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Name | MS. STACEY L YONKOSKI
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Credential | LCSW, CSAC
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Telephone | 414-342-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2334
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License Number State | WI
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