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General NPI Number Information
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NPI Number | 1083265961
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Entity Type | Individual
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Provider Name | KRYSTEN ROHLIK
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 17424 109TH AVE
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-5370
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Country | US
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Telephone | 715-382-3751
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Fax |
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Provider Business Mailing Address
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Address Line | 17424 109TH AVE
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-5370
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Country | US
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Telephone | 715-382-3751
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC6626
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4429-125
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License Number State | WI
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