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General NPI Number Information
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NPI Number | 1215832084
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Entity Type | Organization
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Legal Business Name | WEST WIND PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 6320 MONONA DR STE 307
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City | MONONA
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State | WI
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Zip | 53716-3985
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Country | US
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Telephone | 608-352-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 6320 MONONA DR STE 307
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City | MONONA
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State | WI
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Zip | 53716-3985
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | LAUREN GORDON
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Credential | LPC
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Telephone | 608-352-3306
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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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