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General NPI Number Information
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NPI Number | 1063525087
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Entity Type | Organization
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Legal Business Name | VALLEY PROFESSIONAL COUNSELING INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 750 HAWTHORNE AVE NE
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City | SALEM
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State | OR
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Zip | 97301-4675
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Country | US
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Telephone | 503-370-9200
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Fax | 503-370-9210
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Provider Business Mailing Address
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Address Line | 750 HAWTHORNE AVE NE
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City | SALEM
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State | OR
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Zip | 97301-4675
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Country | US
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Telephone | 503-370-9200
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Fax | 503-370-9210
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ERIC SAMUEL DAVIS
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Credential | MSW, CSWA, CADC
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Telephone | 503-370-9200
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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 | 279
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OR
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