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General NPI Number Information
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NPI Number | 1497005417
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Entity Type | Organization
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Legal Business Name | EMPATH COUNSELING, LLC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 13500 WATERTOWN PLANK RD SUITE 101
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City | ELM GROVE
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State | WI
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Zip | 53122-2200
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Country | US
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Telephone | 920-382-3822
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S WATER ST UNIT 210
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City | MILWAUKEE
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State | WI
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Zip | 53204-1498
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Country | US
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Telephone | 920-382-3822
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. RACHEL LEE VOGEDES
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Credential | LPC
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Telephone | 920-382-3822
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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 | 4254125
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License Number State | WI
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