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General NPI Number Information
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NPI Number | 1760696108
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Entity Type | Individual
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Provider Name | TONYA SUE KOENIG-COLSCH LPC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 502 MAIN ST W STE 305C
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City | ASHLAND
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State | WI
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Zip | 54806-1579
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Country | US
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Telephone | 715-765-1498
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Fax |
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Provider Business Mailing Address
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Address Line | 29525 FOUR CORNERS STORE RD
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City | MASON
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State | WI
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Zip | 54856-2054
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Country | US
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Telephone | 928-210-5237
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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 | LPC-10242
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License Number State | AZ
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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 | 6046-125
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License Number State | WI
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