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NPI Code Detail

MEDICARE: JEANNE LOUTHER LPC, SAC

MEDICARE:   JEANNE  LOUTHER  LPC, SAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6313-125WI
2101YA0400XAddiction (Substance Use Disorder) Counselor16256WI

General Provider Information

NPI Number : 1952764706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE LOUTHER LPC, SAC
Provider Business Mailing Address
First Line : W11211 COUNTY ROAD G
Second Line :
City : BEAVER DAM
State : WI
Zip : 53916-9567
Country : US
Telephone Number : 608-206-0186
Fax Number :
Provider Business Practice Location Address
First Line : 787 LOIS DR
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-1177
Country : US
Telephone Number : 608-299-9697
Fax Number : 608-478-5646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2016
Last Update Date : 05/26/2026

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Directions to “ JEANNE LOUTHER LPC, SAC” Practice Location

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