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General NPI Number Information
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NPI Number | 1124246897
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Entity Type | Organization
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Legal Business Name | TOMAHAWK COUNSELING
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1345 W MASON STREET SUITE L8
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City | GREEN BAY
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State | WI
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Zip | 54303
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Country | US
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Telephone | 920-405-9701
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Fax | 920-405-9703
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Provider Business Mailing Address
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Address Line | 1345 W MASON SUITE L8 PO BOX 12556
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City | GREEN BAY
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State | WI
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Zip | 54307-2556
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Country | US
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Telephone | 920-405-9701
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Fax | 920-405-9703
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Authorized Official
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Title or Position | DIRECTOR SUBSTANCE ABUSE COUNSELOR
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Name | MRS. KRISTI HELEN KOVACS
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Credential | SAC IT
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Telephone | 920-405-9701
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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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