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General NPI Number Information
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NPI Number | 1235928805
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Entity Type | Organization
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Legal Business Name | ADAPTIVE HUMAN SOLUTIONS & CONSULTING LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 224 NE 28TH AVE
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City | PORTLAND
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State | OR
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Zip | 97232-3148
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Country | US
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Telephone | 218-585-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NE 28TH AVE
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City | PORTLAND
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State | OR
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Zip | 97232-3148
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Country | US
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Telephone | 218-585-9400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENELLE M MARLETTE
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Credential | LPC, CADC,LPCC, LADC
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Telephone | 218-585-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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