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General NPI Number Information
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NPI Number | 1619099819
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Entity Type | Individual
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Provider Name | ANNASTASIA LOUIS WISCHKI LPC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | W206N16747 BLACKBERRY CIR UNIT 1702
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City | JACKSON
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State | WI
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Zip | 53037-9029
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Country | US
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Telephone | 262-505-2280
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Fax |
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Provider Business Mailing Address
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Address Line | W206N16747 BLACKBERRY CIR UNIT 1702
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City | JACKSON
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State | WI
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Zip | 53037-9029
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Country | US
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Telephone | 262-505-2280
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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 | 15364-130
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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 | 4402-125
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License Number State | WI
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