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NPI 1659895241

NPI 1659895241 : JASMINE KNAUS : NEENAH, WI

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General NPI Number Information
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    NPI Number           |    1659895241
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    Entity Type          |    Individual 
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    Provider Name        |    JASMINE KNAUS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2017
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    Last Update Date     |    10/07/2025
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Provider Practice Location Address
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    Address Line         |    1370 S COMMERCIAL ST 
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    City                 |    NEENAH
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    State                |    WI
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    Zip                  |    54956-4636
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    Country              |    US
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    Telephone            |    920-419-6289
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1370 S COMMERCIAL ST 
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    City                 |    NEENAH
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    State                |    WI
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    Zip                  |    54956-4636
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    Country              |    US
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    Telephone            |    920-419-6289
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    10388-125
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    License Number State |    WI
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