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General NPI Number Information
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NPI Number | 1063102754
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Entity Type | Organization
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Legal Business Name | CO-OCCURRING THERAPY, LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/14/2023
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Provider Practice Location Address
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Address Line | 13157 SE 132ND AVE
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-9354
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Country | US
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Telephone | 971-421-7718
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Fax |
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Provider Business Mailing Address
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Address Line | 13203 SE 172ND AVE STE 166
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-8738
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Country | US
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Telephone | 971-421-7718
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA RAE FRANCIS
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Credential | LCSW, LICSW
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Telephone | 971-421-7718
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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