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General NPI Number Information
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NPI Number | 1154145811
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Entity Type | Organization
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Legal Business Name | SOLACE & ENRICHMENT COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 14333 SE WAGNER LN
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City | OAK GROVE
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State | OR
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Zip | 97267
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Country | US
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Telephone | 971-271-3065
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Fax |
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Provider Business Mailing Address
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Address Line | 14333 SE WAGNER LN
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City | OAK GROVE
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State | OR
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Zip | 97267
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Country | US
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Telephone | 971-271-3065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE PIERSON
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Credential |
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Telephone | 971-271-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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