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General NPI Number Information
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NPI Number | 1356792964
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Entity Type | Individual
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Provider Name | NICOLE LYNN MCKEOWN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | BELOIT HEALTH SYSTEM INC COUNSELING CARE CENTER 1969 W HART ROAD
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-364-5686
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Fax | 608-635-5756
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Provider Business Mailing Address
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Address Line | BELOIT HEALTH SYSTEM INC COUNSELING CARE CENTER 1969 W HART ROAD
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-364-5686
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Fax | 608-635-5756
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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 | 1113-226
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License Number State | WI
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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 | 6989-125
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License Number State | WI
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