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General NPI Number Information
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NPI Number | 1346084779
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Entity Type | Organization
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Legal Business Name | LIFE ALIGN COUNSELING AND COACHING
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 51 WATER ST STE 210
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City | ASHLAND
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State | OR
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Zip | 97520-1841
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Country | US
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Telephone | 541-326-7495
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Fax | 458-658-5550
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Provider Business Mailing Address
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Address Line | 303 W 1ST ST
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City | PHOENIX
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State | OR
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Zip | 97535-7700
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Country | US
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Telephone | 541-625-3138
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Fax | 458-658-5550
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | MRS. SUNAURA SKYE BROWN
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Credential | LPC
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Telephone | 541-326-7495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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