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General NPI Number Information
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NPI Number | 1487213773
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Entity Type | Organization
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Legal Business Name | RESILIENCE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 10855 W POTTER RD STE 23
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City | WAUWATOSA
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State | WI
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Zip | 53226-3439
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Country | US
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Telephone | 262-437-7711
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Fax | 262-353-4486
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Provider Business Mailing Address
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Address Line | W147N4929 DOLPHIN DR
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-6901
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Country | US
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Telephone | 262-437-7711
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Fax | 262-353-4486
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Authorized Official
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Title or Position | LPC
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Name | DANIEL BUEHLER
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Credential |
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Telephone | 262-437-7711
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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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