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General NPI Number Information
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NPI Number | 1710456108
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Entity Type | Individual
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Provider Name | ALEXIS MCDONALD MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 4330 GOLF TER STE 202
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4688
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Country | US
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Telephone | 715-201-4209
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Fax |
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Provider Business Mailing Address
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Address Line | 422 PUTNAM ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-3221
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Country | US
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Telephone | 715-533-2879
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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 | 4803226
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8677-125
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License Number State | WI
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