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General NPI Number Information
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NPI Number | 1578321683
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Entity Type | Individual
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Provider Name | JESSICA KLEIN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1250 E BUSINESS HIGHWAY 151 STE D
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3875
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Country | US
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Telephone | 608-470-2200
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Fax | 608-470-2200
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Provider Business Mailing Address
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Address Line | 1615 BIRCH ST
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City | HAZEL GREEN
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State | WI
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Zip | 53811-9568
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Country | US
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Telephone | 515-450-3597
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | T24007
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 130163
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License Number State | IA
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