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General NPI Number Information
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NPI Number | 1184533598
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Entity Type | Organization
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Legal Business Name | MERIDIAN PROFESSIONAL COUNSELING, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 22220 SALAMO RD # 662
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City | WEST LINN
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State | OR
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Zip | 97068-7206
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Country | US
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Telephone | 360-338-8286
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 662
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City | WEST LINN
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State | OR
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Zip | 97068-0662
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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 | MARY ROBERTS
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Credential | LPC, LMHC
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Telephone | 360-338-8286
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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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