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General NPI Number Information
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NPI Number | 1053235531
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Entity Type | Organization
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Legal Business Name | LAURIE REISENER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 4050 N OAKLAND AVE APT 219
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City | SHOREWOOD
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State | WI
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Zip | 53211-2350
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Country | US
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Telephone | 414-698-7776
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Fax | 262-293-9777
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Provider Business Mailing Address
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Address Line | 4050 N OAKLAND AVE APT 219
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City | SHOREWOOD
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State | WI
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Zip | 53211-2350
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Country | US
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Telephone | 414-698-7776
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Fax | 262-293-9777
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Authorized Official
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Title or Position | CONTRACTOR
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Name | DAWN LIBERSKI
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Credential |
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Telephone | 414-426-8910
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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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