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General NPI Number Information
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NPI Number | 1124734827
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Entity Type | Organization
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Legal Business Name | PEAKS TO PLAINS COUNSELING, LLC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 7175 SW BEVELAND RD STE 205
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City | PORTLAND
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State | OR
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Zip | 97223-8665
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Country | US
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Telephone | 858-449-1589
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Fax | 720-419-0228
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Provider Business Mailing Address
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Address Line | 205 KEN PRATT BLVD STE 120-40
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City | LONGMONT
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State | CO
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Zip | 80501-8993
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Country | US
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Telephone | 858-449-1589
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Fax | 720-419-0228
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | LAURIE KERRIDGE
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Credential | LPC
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Telephone | 858-449-1589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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