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General NPI Number Information
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NPI Number | 1821011545
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Entity Type | Organization
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Legal Business Name | JOURNEY POINTS THERAPY SERVICES
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 204 3RD AVE SUITE 110
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City | OSCEOLA
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State | WI
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Zip | 54020
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Country | US
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Telephone | 715-294-3567
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Fax | 715-247-2802
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | SOMERSET
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State | WI
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Zip | 54025-0217
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Country | US
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Telephone | 715-247-2802
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Fax | 715-247-2802
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MRS. LISA JO WEBER SEDLAK
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Credential | MS
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Telephone | 715-247-2802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 660-124
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 660-124
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License Number State | WI
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