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General NPI Number Information
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NPI Number | 1417575572
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Entity Type | Organization
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Legal Business Name | JOLENE A PUNDSACK MS LPCC PLLC
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 324 BROADWAY ST STE 206
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City | ALEXANDRIA
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State | MN
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Zip | 56308-1482
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Country | US
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Telephone | 320-762-1762
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Fax | 320-762-1762
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Provider Business Mailing Address
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Address Line | 324 BROADWAY ST STE 206
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City | ALEXANDRIA
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State | MN
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Zip | 56308-1482
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Country | US
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Telephone | 320-333-7901
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Fax | 320-762-0796
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Authorized Official
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Title or Position | OWNER/LPCC
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Name | JOLENE ANNA PUNDSACK
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Credential | MS LPCC
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Telephone | 320-333-7901
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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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