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General NPI Number Information
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NPI Number | 1497616411
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Entity Type | Individual
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Provider Name | ANNA SLABACK M.S., LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 902 E 2ND STREET SUITE 325
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City | WINONA
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State | MN
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Zip | 55987
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Country | US
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Telephone | 855-855-6776
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Fax |
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Provider Business Mailing Address
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Address Line | 902 E 2ND ST STE 325
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City | WINONA
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State | MN
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Zip | 55987-6510
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Country | US
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Telephone | 855-855-6776
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12276-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC05304
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License Number State | MN
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