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General NPI Number Information
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NPI Number | 1063378297
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING SOLUTIONS
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 550 W SPERRY STREET
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City | HEPPNER
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State | OR
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Zip | 97836
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Country | US
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Telephone | 541-676-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W SPERRY STREET
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City | HEPPNER
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State | OR
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Zip | 97836
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Country | US
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Telephone | 541-676-9161
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Fax |
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Authorized Official
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Title or Position | MFT GRADUATE INTERN
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Name | NATHANIEL L GRIFFEL WILD
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Credential |
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Telephone | 217-556-9387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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