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General NPI Number Information
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NPI Number | 1497961551
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Entity Type | Organization
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Legal Business Name | CONNECTIONS COUNSELING, LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 5005 UNIVERSITY AVE SUITE 100
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City | MADISON
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State | WI
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Zip | 53705-5400
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Country | US
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Telephone | 608-233-2100
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Fax | 608-221-1515
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Provider Business Mailing Address
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Address Line | 5005 UNIVERSITY AVE SUITE 100
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City | MADISON
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State | WI
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Zip | 53705-5400
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Country | US
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Telephone | 608-233-2100
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Fax | 608-233-2101
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. CHARLES W CALLENDER
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Credential |
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Telephone | 608-233-2100
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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 | HFS 61.91
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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 | HFS 75.13
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License Number State | WI
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