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General NPI Number Information
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NPI Number | 1851262752
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Entity Type | Organization
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Legal Business Name | EVERGREEN COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 707 CRICKET LN UNIT 2
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City | MIDDLETON
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State | WI
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Zip | 53562-5674
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Country | US
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Telephone | 608-620-5887
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Fax |
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Provider Business Mailing Address
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Address Line | 707 CRICKET LN UNIT 2
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City | MIDDLETON
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State | WI
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Zip | 53562-5674
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Country | US
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Telephone | 608-620-5887
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CORINNE WERNER
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Credential | PSYD
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Telephone | 608-620-5887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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