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General NPI Number Information
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NPI Number | 1629904545
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Entity Type | Organization
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Legal Business Name | WILLOW TREE COUNSELING LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 94 VIKING ST
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City | COON VALLEY
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State | WI
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Zip | 54623-8337
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Country | US
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Telephone | 608-606-2812
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Fax |
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Provider Business Mailing Address
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Address Line | 94 VIKING ST
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City | COON VALLEY
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State | WI
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Zip | 54623-8337
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Country | US
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Telephone | 608-606-2812
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | TERESA LYNN NUNDAHL
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Credential | M.S.
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Telephone | 608-606-2812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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