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General NPI Number Information
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NPI Number | 1013635473
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Entity Type | Organization
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Legal Business Name | NEEKEE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 16100 NW CORNELL RD STE 220
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City | BEAVERTON
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State | OR
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Zip | 97006-7334
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Country | US
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Telephone | 971-500-6799
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Fax | 503-922-6676
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Provider Business Mailing Address
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Address Line | 16100 NW CORNELL RD STE 220
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City | BEAVERTON
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State | OR
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Zip | 97006-7334
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Country | US
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Telephone | 971-500-6799
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Fax | 503-922-6676
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Authorized Official
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Title or Position | OWNER
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Name | MR. AMIR ASSASNIK
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Credential | LCSW
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Telephone | 971-500-6799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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