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General NPI Number Information
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NPI Number | 1275628042
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Entity Type | Individual
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Provider Name | KIRSTEN LESLIE MCATEER MA LPC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 1220 SW MORRISON ST STE 905
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City | PORTLAND
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State | OR
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Zip | 97205-2231
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Country | US
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Telephone | 503-515-1791
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Fax | 866-833-8702
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Provider Business Mailing Address
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Address Line | 1220 SW MORRISON ST SUITE 905
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City | PORTLAND
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State | OR
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Zip | 97205-2235
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Country | US
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Telephone | 503-515-1791
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Fax | 866-833-8702
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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 | 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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C2130
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License Number State | OR
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