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General NPI Number Information
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NPI Number | 1245238633
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Entity Type | Organization
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Legal Business Name | THE COUNSELING CENTER OF MILWAUKEE, INC.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 4200 N HOLTON ST SUITE 400
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City | MILWAUKEE
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State | WI
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Zip | 53212-1064
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Country | US
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Telephone | 414-964-2565
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Fax | 414-964-0102
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Provider Business Mailing Address
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Address Line | 4200 N HOLTON ST SUITE 400
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City | MILWAUKEE
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State | WI
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Zip | 53212-1064
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Country | US
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Telephone | 414-964-2565
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Fax | 414-964-0102
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Authorized Official
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Title or Position | VICE PRESIDENT OF CLINICAL SERVICES
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Name | MS. CATHY ARNEY
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Credential | LCSW, LMFT
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Telephone | 414-271-2565
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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 | HFS 61.91
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | HFS 61.91
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | HFS 61.91
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | HFS 61.91
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | HFS 61.91
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License Number State | WI
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