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General NPI Number Information
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NPI Number | 1154502391
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Entity Type | Individual
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Provider Name | JOLENE MARIE FEENEY NCC, CDP, LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 10000 NE 7TH AVE SUITE 215
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City | VANCOUVER
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State | WA
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Zip | 98685-4599
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Country | US
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Telephone | 360-574-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 815 E 28TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-3026
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Country | US
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Telephone | 406-531-4105
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MT
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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 | LH 60429987
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License Number State | WA
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