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General NPI Number Information
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NPI Number | 1518783190
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Entity Type | Organization
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Legal Business Name | C.F. GOOD RIVER, LLC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 4617 BLUFFSIDE DR
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City | CALEDONIA
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State | WI
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Zip | 53402-9788
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Country | US
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Telephone | 262-321-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 4617 BLUFFSIDE DR
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City | CALEDONIA
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State | WI
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Zip | 53402-9788
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Country | US
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Telephone | 262-321-8288
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MRS. CINDY FINDLEY
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Credential | LPC-IT
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Telephone | 262-321-8288
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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 |
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License Number State |
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