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General NPI Number Information
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NPI Number | 1184725277
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Entity Type | Organization
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Legal Business Name | JOURNEY COUNSELING LLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6417 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1128
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Country | US
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Telephone | 608-442-1637
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Fax | 608-442-1887
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Provider Business Mailing Address
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Address Line | 6417 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1128
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Country | US
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Telephone | 608-442-1637
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Fax | 608-442-1887
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | MS. JEANNETTE L. WELTY
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Credential | LCSW
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Telephone | 608-442-1637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2629
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2629
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License Number State | WI
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