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General NPI Number Information
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NPI Number | 1699957241
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Entity Type | Organization
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Legal Business Name | GARRISON COUNSELING, INC.
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 319 MAIN ST SUITE 303
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City | LA CROSSE
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State | WI
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Zip | 54601-0705
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Country | US
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Telephone | 608-796-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 319 MAIN ST SUITE 303
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City | LA CROSSE
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State | WI
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Zip | 54601-0705
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Country | US
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Telephone | 608-796-1114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PSYCHOTHERAPIST
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Name | DEBORAH L GARRISON
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Credential | MSW, LCSW
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Telephone | 608-796-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2474
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License Number State | WI
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