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General NPI Number Information
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NPI Number | 1760977086
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Entity Type | Individual
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Provider Name | ELISABETH RUTH ATWELL MA, LPC, CSAC, ICS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 7 E MAIN ST STE 4
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City | EVANSVILLE
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State | WI
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Zip | 53536-1370
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Country | US
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Telephone | 608-285-2424
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Fax | 608-917-2001
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Provider Business Mailing Address
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Address Line | 131 S 3RD ST
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City | EVANSVILLE
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State | WI
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Zip | 53536-1256
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Country | US
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Telephone | 920-819-1712
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Fax | 608-917-2001
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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 | 6220-125
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License Number State | WI
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