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General NPI Number Information
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NPI Number | 1689518391
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Entity Type | Individual
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Provider Name | BROOKE HIESS
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 2920 MARKETPLACE DR STE 203
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City | FITCHBURG
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State | WI
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Zip | 53719-5338
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Country | US
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Telephone | 608-709-9672
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 MANOR DR
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City | STEVENS POINT
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State | WI
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Zip | 54481-6063
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Country | US
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Telephone | 715-527-0448
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | WI
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