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General NPI Number Information
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NPI Number | 1912461385
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Entity Type | Organization
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Legal Business Name | WE ALL RISE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 529 S JEFFERSON ST STE 201
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City | GREEN BAY
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State | WI
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Zip | 54301-4125
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Country | US
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Telephone | 920-819-4089
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 SCHOOL RD
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City | GREENLEAF
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State | WI
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Zip | 54126-9209
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Country | US
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Telephone | 920-819-4089
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | AMY ZIRBEL
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Credential | PSY.D.
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Telephone | 920-819-4089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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