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General NPI Number Information
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NPI Number | 1558730119
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Entity Type | Organization
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Legal Business Name | EIMERS COUNSELING, LLC.
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 827 N CASS ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-3908
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Country | US
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Telephone | 920-988-6314
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Fax |
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Provider Business Mailing Address
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Address Line | 827 N CASS ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-3908
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Country | US
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Telephone | 920-988-6314
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | LISA EIMERS
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Credential | LPC
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Telephone | 920-988-6314
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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 | 5556125
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License Number State | WI
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