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General NPI Number Information
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NPI Number | 1043417900
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Entity Type | Individual
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Provider Name | KAREN LEDOUX LPC, CADC II
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 12655 SW CENTER ST STE 221
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City | BEAVERTON
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State | OR
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Zip | 97005-4769
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Country | US
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Telephone | 971-506-1497
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Fax |
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Provider Business Mailing Address
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Address Line | 30906 NE 112TH AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-9164
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Country | US
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Telephone | 971-506-1497
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C7129
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License Number State | OR
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