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General NPI Number Information
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NPI Number | 1740147610
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Entity Type | Individual
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Provider Name | KIMBERLY HAGMANN LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 121 W FRANKLIN ST
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City | SPARTA
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State | WI
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Zip | 54656-1754
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Country | US
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Telephone | 608-615-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 605 4TH ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-4458
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Country | US
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Telephone | 608-615-1023
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8824226
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License Number State | WI
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