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General NPI Number Information
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NPI Number | 1770496093
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Entity Type | Organization
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Legal Business Name | SILVERLEAF COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 09/26/2026
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Last Update Date | 09/26/2026
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Provider Practice Location Address
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Address Line | 4318 N SILVERLEAF CT
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City | APPLETON
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State | WI
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Zip | 54913-7733
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Country | US
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Telephone | 414-759-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 4318 N SILVERLEAF CT 4318 N SILVERLEAF CT
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City | APPLETON
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State | WI
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Zip | 54913-7733
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Country | US
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Telephone | 414-759-8481
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/OWNER
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Name | JENNIFER LYNN BUSHMAN
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Credential | LCSW
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Telephone | 414-759-8481
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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 |
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License Number State |
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