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General NPI Number Information
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NPI Number | 1154961605
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Entity Type | Individual
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Provider Name | CHANTIA NICOLE STURMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1717 CENTENNIAL BLVD STE 12
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3378
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Country | US
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Telephone | 760-833-1158
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Fax | 541-275-0572
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Provider Business Mailing Address
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Address Line | PO BOX 70764
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City | SPRINGFIELD
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State | OR
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Zip | 97475-0136
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Country | US
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Telephone | 760-833-1158
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Fax | 541-275-0572
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 122661
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1932
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License Number State | OR
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