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General NPI Number Information
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NPI Number | 1952525446
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Entity Type | Organization
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Legal Business Name | PEACEFUL SOLUTIONS COUNSELING
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 741 N 1ST ST
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City | WAUSAU
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State | WI
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Zip | 54403-4721
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Country | US
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Telephone | 715-675-3458
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Fax | 715-675-7238
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Provider Business Mailing Address
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Address Line | 741 N 1ST ST
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City | WAUSAU
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State | WI
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Zip | 54403-4721
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Country | US
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Telephone | 715-675-3458
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Fax | 715-675-7238
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Authorized Official
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Title or Position | CO-EXECUTIVE DIRECTOR
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Name | MS. MICHAELE LEE SHIPWAY
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Credential | LCSW
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Telephone | 715-675-3458
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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 | 2715
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License Number State | WI
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