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General NPI Number Information
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NPI Number | 1164038741
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Entity Type | Organization
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Legal Business Name | YELK COUNSELING, LLC
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Dates
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Enumeration Date | 09/19/2020
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 2916 MARKETPLACE DR
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City | FITCHBURG
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State | WI
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Zip | 53719-5325
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Country | US
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Telephone | 608-733-1040
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Fax | 608-467-7119
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Provider Business Mailing Address
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Address Line | 2916 MARKETPLACE DR
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City | FITCHBURG
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State | WI
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Zip | 53719-5325
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Country | US
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Telephone | 608-733-1040
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Fax | 608-467-7119
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | JENNIFER YELK
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Credential | LPC
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Telephone | 608-630-4398
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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 |
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License Number State |
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