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General NPI Number Information
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NPI Number | 1992633309
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Entity Type | Organization
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Legal Business Name | PEACE COUNSELING & SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1557 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3920
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Country | US
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Telephone | 715-732-6868
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Fax | 715-732-6866
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Provider Business Mailing Address
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Address Line | 1557 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3920
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Country | US
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Telephone | 715-732-6868
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Fax | 715-732-6866
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | IVY SUTEK
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Credential | CSAC, CADC, CSIT
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Telephone | 715-938-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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