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General NPI Number Information
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NPI Number | 1467303297
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Entity Type | Organization
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Legal Business Name | SOUTH SHORE COUNSELING
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | N91W17194 APPLETON AVE STE 204
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-2083
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Country | US
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Telephone | 414-502-7780
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Fax |
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Provider Business Mailing Address
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Address Line | N91W17194 APPLETON AVE STE 204
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-2083
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Country | US
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Telephone | 414-502-7780
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GINA BRINDOWSKI
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Credential | LPC, SAC
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Telephone | 414-502-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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