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General NPI Number Information
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NPI Number | 1154836039
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Entity Type | Individual
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Provider Name | KRISTEN KIMBLE HOUSLET LPC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 302 W LAKE ST
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City | FRIENDSHIP
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State | WI
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Zip | 53934-9698
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Country | US
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Telephone | 608-474-4355
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Fax | 608-474-4309
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Provider Business Mailing Address
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Address Line | 571 BRAUND ST
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City | ONALASKA
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State | WI
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Zip | 54650-8556
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Country | US
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Telephone | 608-785-7000
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Fax | 608-785-7477
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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 | 7628-125
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License Number State | WI
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