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General NPI Number Information
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NPI Number | 1720438336
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Entity Type | Individual
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Provider Name | KATHRYN HEPNER LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | N3219 COUNTY TRUNK H STE E
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City | LAKE GENEVA
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State | WI
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Zip | 53147-7074
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Country | US
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Telephone | 262-261-1409
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Fax | 262-324-6440
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Provider Business Mailing Address
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Address Line | 1590 ELKHORN RD STE E
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City | LAKE GENEVA
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State | WI
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Zip | 53147
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Country | US
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Telephone | 262-261-1409
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Fax | 262-324-6440
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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 | 180.011336
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178012043
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6913125
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6913-125
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License Number State |
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