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NPI 1386589950

NPI 1386589950 : TRUE NORTH PSYCHOTHERAPY SERVICES : MADISON, WI

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General NPI Number Information
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    NPI Number           |    1386589950
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE NORTH PSYCHOTHERAPY SERVICES 
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Dates
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    Enumeration Date     |    04/21/2026
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    Last Update Date     |    04/21/2026
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Provider Practice Location Address
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    Address Line         |    1334 APPLEGATE RD STE 204 
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53713-5004
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    Country              |    US
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    Telephone            |    608-352-8907
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1334 APPLEGATE RD STE 204 
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    City                 |    MADISON
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    State                |    WI
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    Zip                  |    53713-5004
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    Country              |    US
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    Telephone            |    608-352-8907
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     OWEN CAMERON KENNEDY 
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    Credential           |    LPC
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    Telephone            |    608-352-8907
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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       |    
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    License Number State |    
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