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General NPI Number Information
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NPI Number | 1700676178
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Entity Type | Organization
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Legal Business Name | WILLOW CREEK COUNSELING LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2920 EAST AVE S STE 101
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City | LA CROSSE
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State | WI
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Zip | 54601-8282
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Country | US
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Telephone | 608-520-0334
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 EAST AVE S STE 101
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City | LA CROSSE
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State | WI
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Zip | 54601-8282
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Country | US
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Telephone | 608-520-0334
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Fax | 608-646-1715
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LANA RG BUCHNER
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Credential | LPC
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Telephone | 608-780-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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