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General NPI Number Information
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NPI Number | 1346678463
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Entity Type | Organization
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Legal Business Name | VERVE COUNSELING LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 2207 NE 13TH AVE
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City | PORTLAND
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State | OR
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Zip | 97212-4317
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Country | US
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Telephone | 503-799-7836
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 NE 13TH AVE
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City | PORTLAND
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State | OR
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Zip | 97212-4317
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Country | US
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Telephone | 503-799-7836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH ZUBER
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Credential | LCSW
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Telephone | 503-799-7836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | L5298
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L5298
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | L298
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L5998
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License Number State | OR
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