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General NPI Number Information
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NPI Number | 1093568255
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Entity Type | Organization
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Legal Business Name | NORTHWOODS COUNSELING LLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 1218 N 4TH ST STE 8
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City | TOMAHAWK
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State | WI
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Zip | 54487-2152
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Country | US
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Telephone | 715-966-3314
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 43
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City | ARMSTRONG CRK
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State | WI
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Zip | 54103-0043
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Country | US
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Telephone | 715-367-4246
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. CAREY HEIKKINEN
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Credential | MS APSW
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Telephone | 715-966-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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