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General NPI Number Information
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NPI Number | 1356263180
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Entity Type | Individual
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Provider Name | CARIESA BARBARA ANN GROSS MA, LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2831 POST RD STE 300
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City | PLOVER
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State | WI
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Zip | 54467-3415
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Country | US
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Telephone | 715-600-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 680 EVANS ST
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City | WAUPACA
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State | WI
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Zip | 54981-2039
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9218-226
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License Number State | WI
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