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General NPI Number Information
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NPI Number | 1255246005
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING SOLUTIONS DBA STAR
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 361 TURNER CT NE
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City | BOARDMAN
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State | OR
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Zip | 97818
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Country | US
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Telephone | 541-436-8145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 469
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City | HEPPNER
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State | OR
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Zip | 97836-0469
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Country | US
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Telephone | 541-676-9161
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Fax | 541-676-5662
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | STEFANIE JOELLE SWEENEY
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Credential |
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Telephone | 541-676-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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