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General NPI Number Information
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NPI Number | 1295501781
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Entity Type | Organization
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Legal Business Name | HOPE MOUNTAIN COUNSELING
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1804 LINDA LN
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City | LA GRANDE
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State | OR
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Zip | 97850-3325
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Country | US
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Telephone | 541-236-4743
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Fax | 541-605-0253
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Provider Business Mailing Address
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Address Line | 1804 LINDA LN
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City | LA GRANDE
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State | OR
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Zip | 97850-3325
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Country | US
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Telephone | 541-236-4743
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Fax | 541-605-0253
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JEANNIE MOOD CAMPBELL
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Credential | LMFT
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Telephone | 541-236-4743
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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 |
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License Number State |
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