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General NPI Number Information
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NPI Number | 1043861222
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Entity Type | Organization
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Legal Business Name | RENEWING STRENGTH COUNSELING LLC
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 4509 S 6TH ST STE 310
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-4883
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Country | US
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Telephone | 541-891-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 14625 CHEYNE RD
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-9700
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Country | US
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Telephone | 541-281-7330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLOTTE ROHRBACKER
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Credential | LCSW
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Telephone | 541-281-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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