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General NPI Number Information
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NPI Number | 1740796762
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Entity Type | Organization
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Legal Business Name | TRUE NORTH COUNSELING, LLC
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 207 GRAND AVE
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City | WAUSAU
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State | WI
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Zip | 54403-6218
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Country | US
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Telephone | 715-370-8863
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Fax | 715-256-8324
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Provider Business Mailing Address
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Address Line | 207 GRAND AVE
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City | WAUSAU
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State | WI
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Zip | 54403-6218
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Country | US
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Telephone | 715-370-8863
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Fax | 715-256-8324
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Authorized Official
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Title or Position | OWNER, DIRECTOR, CLINICIAN
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Name | CHRISTINE ELLIS
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Credential | M.A,, M.S., LPC
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Telephone | 715-370-8865
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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 |
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License Number State |
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