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General NPI Number Information
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NPI Number | 1144072885
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Entity Type | Organization
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Legal Business Name | GHASSAN AMMAR COUNSELING LLC
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 8525 N LOMBARD ST STE 1
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City | PORTLAND
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State | OR
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Zip | 97203-3156
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Country | US
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Telephone | 503-941-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 N VANCOUVER WAY # 5338
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City | PORTLAND
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State | OR
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Zip | 97217-7530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GHASSAN AMMAR
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Credential | LPC
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Telephone | 503-941-0359
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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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Taxonomy #2
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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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