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General NPI Number Information
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NPI Number | 1942399449
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Entity Type | Individual
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Provider Name | RISA LYNN JANOWSKI M.S., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1150 SPRINGHURST DR STE 102
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City | GREEN BAY
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State | WI
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Zip | 54304-5950
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Country | US
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Telephone | 920-393-1304
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Fax | 920-338-8181
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Provider Business Mailing Address
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Address Line | 1150 SPRINGHURST DR STE 102
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City | GREEN BAY
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State | WI
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Zip | 54304-5950
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Country | US
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Telephone | 920-615-6951
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Fax | 920-338-8181
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3096-125
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License Number State | WI
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