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General NPI Number Information
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NPI Number | 1164012589
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Entity Type | Individual
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Provider Name | HOLLY CHRISTINE HEUER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 11518 N PORT WASHINGTON RD STE 202
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City | MEQUON
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State | WI
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Zip | 53092-3443
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Country | US
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Telephone | 262-999-2792
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 N CRESTWOOD BLVD
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City | MILWAUKEE
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State | WI
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Zip | 53209-4351
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Country | US
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Telephone | 314-359-3738
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4850226
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10322-125
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10322-125
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License Number State | WI
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