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General NPI Number Information
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NPI Number | 1467894394
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Entity Type | Individual
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Provider Name | STEPHANIE L COATES-MCFEELEY M.S., LPC, SAC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 400 BAY VIEW RD STE C
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City | MUKWONAGO
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State | WI
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Zip | 53149-1770
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Country | US
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Telephone | 262-789-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 CIDER CIR
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City | MUKWONAGO
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State | WI
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Zip | 53149-1935
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Country | US
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Telephone | 262-333-9154
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16779-130
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15946-131
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2035-226
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License Number State | WI
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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 | 5697-125
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License Number State | WI
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