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General NPI Number Information
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NPI Number | 1043110653
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Entity Type | Organization
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Legal Business Name | CENTRAL WISCONSIN COUNSELING
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 320 W GRAND AVE STE 304A
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54495-2781
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Country | US
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Telephone | 715-424-6960
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Fax | 715-424-6963
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Provider Business Mailing Address
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Address Line | 2511 48TH ST N
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-6853
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Country | US
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Telephone | 608-445-5284
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KATHY DUTTER
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Credential | LPC
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Telephone | 715-424-6960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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