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General NPI Number Information
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NPI Number | 1952198475
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Entity Type | Organization
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Legal Business Name | CANDID COUNSELING LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1040 1ST CENTER AVE APT 4
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City | BRODHEAD
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State | WI
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Zip | 53520-1419
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Country | US
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Telephone | 608-921-3560
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 1ST CENTER AVE APT 4
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City | BRODHEAD
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State | WI
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Zip | 53520-1419
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Country | US
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Telephone | 608-921-3560
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Fax |
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Authorized Official
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Title or Position | OWNER, LPC
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Name | CHERYL BUROKER
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Credential |
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Telephone | 608-921-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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