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General NPI Number Information
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NPI Number | 1336959139
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Entity Type | Organization
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Legal Business Name | KELLY VALENTE LMFT LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 190 NW 4TH ST
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City | PRINEVILLE
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State | OR
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Zip | 97754-1820
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Country | US
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Telephone | 412-919-1005
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Fax | 541-291-9119
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Provider Business Mailing Address
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Address Line | 489 NE UNION LOOP
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City | PRINEVILLE
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State | OR
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Zip | 97754-3232
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Country | US
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Telephone | 541-291-9100
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Fax | 541-291-9119
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Authorized Official
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Title or Position | OWNER
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Name | KELLY VALENTE
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Credential | LMFT
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Telephone | 541-291-9100
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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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