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General NPI Number Information
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NPI Number | 1629382825
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Entity Type | Organization
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Legal Business Name | COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 115 5TH AVE SOUTH SUITE 301
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City | LACROSSE
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State | WI
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Zip | 54601
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Country | US
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Telephone | 608-785-0827
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Fax | 608-785-0273
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | WINONA
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State | MN
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Zip | 55987
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Country | US
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Telephone | 507-452-5033
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Fax | 507-452-5183
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MARIO WALTER EINSMAN
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Credential |
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Telephone | 507-452-5033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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