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General NPI Number Information
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NPI Number | 1033770938
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Entity Type | Organization
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Legal Business Name | KIDS & COMPANY COUNSELING, INC
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Dates
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Enumeration Date | 06/22/2019
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 1813 W HARVARD AVE STE 427
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City | ROSEBURG
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State | OR
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Zip | 97471-8712
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Country | US
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Telephone | 907-545-3079
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 W HARVARD AVE STE 427
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City | ROSEBURG
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State | OR
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Zip | 97471-8712
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Country | US
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Telephone | 541-817-5326
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Fax |
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Authorized Official
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Title or Position | OWNER/GENERAL MANAGER
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Name | MRS. DEBORAH ANN ROGERS
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Credential | LPC
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Telephone | 541-817-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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