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General NPI Number Information
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NPI Number | 1205175916
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Entity Type | Individual
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Provider Name | MARY LOU KAY HAUSLADEN LPC, LADC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 20288 HIGHWAY 15 N SUITE 100
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City | HUTCHINSON
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State | MN
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Zip | 55350-5684
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Country | US
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Telephone | 320-587-2326
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Fax | 320-234-6358
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Provider Business Mailing Address
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Address Line | 1423 212TH ST
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City | LESTER PRAIRIE
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State | MN
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Zip | 55354-6314
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Country | US
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Telephone | 320-282-5460
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 303497
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License Number State | MN
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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 | 942
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License Number State | MN
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