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General NPI Number Information
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NPI Number | 1740712744
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Entity Type | Organization
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Legal Business Name | VALLEY COUNSELING, LLC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 2424 MONETARY BLVD SUITE 116
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City | HUDSON
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State | WI
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Zip | 54016-8735
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Country | US
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Telephone | 715-386-2003
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Fax | 715-386-2004
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Provider Business Mailing Address
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Address Line | 2424 MONETARY BLVD SUITE 116
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City | HUDSON
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State | WI
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Zip | 54016-8735
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Country | US
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Telephone | 715-386-2003
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Fax | 715-386-2004
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY KJOLSING SATHER
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Credential | LPC
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Telephone | 715-386-2003
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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 | 4971-125
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License Number State | WI
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