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General NPI Number Information
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NPI Number | 1336053511
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Entity Type | Organization
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Legal Business Name | OAK AND FEATHER COUNSELING LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 612 S WELLS ST STE H
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City | LAKE GENEVA
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State | WI
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Zip | 53147-2159
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Country | US
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Telephone | 224-436-1761
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Fax |
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Provider Business Mailing Address
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Address Line | 612 S WELLS ST STE H
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City | LAKE GENEVA
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State | WI
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Zip | 53147-2159
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Country | US
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Telephone | 224-436-1761
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARLA J INNIS
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Credential | LCSW
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Telephone | 224-436-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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