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General NPI Number Information
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NPI Number | 1437240868
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Entity Type | Organization
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Legal Business Name | AURORA COUNSELING CENTERS EMPLOYEE SUPPORT SYSTEMS, INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 406 TECHNOLOGY DR E SUITE C
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City | MENOMONIE
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State | WI
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Zip | 54751-2767
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Country | US
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Telephone | 715-235-4696
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Fax | 715-235-3941
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Provider Business Mailing Address
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Address Line | 406 TECHNOLOGY DR E STE B
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City | MENOMONIE
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State | WI
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Zip | 54751-2768
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Country | US
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Telephone | 715-235-4696
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Fax | 715-235-3941
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MS. PAULA MICKELSON
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Credential |
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Telephone | 715-635-4858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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 |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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