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General NPI Number Information
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NPI Number | 1053098715
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Entity Type | Organization
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Legal Business Name | RED ROCK COUNSELING AND TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 150 SW 4TH ST
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City | REDMOND
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State | OR
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Zip | 97756-1838
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Country | US
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Telephone | 541-233-9392
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Fax |
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Provider Business Mailing Address
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Address Line | 877 NW 24TH WAY
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City | REDMOND
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State | OR
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Zip | 97756-6929
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Country | US
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Telephone | 541-699-6370
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER AND CLINICIAN
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Name | AYESHA MOHAMED ALI
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Credential | LCSW
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Telephone | 541-699-6370
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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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