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General NPI Number Information
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NPI Number | 1356181424
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Entity Type | Organization
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Legal Business Name | TWO SPARROWS COUNSELING, LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 10700 SW BEAVERTON HILLSDALE HWY STE 696-3
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City | BEAVERTON
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State | OR
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Zip | 97005-3019
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Country | US
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Telephone | 360-600-5877
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Fax |
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Provider Business Mailing Address
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Address Line | 15240 SW LARK LN
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City | BEAVERTON
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State | OR
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Zip | 97007-6100
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Country | US
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Telephone | 360-600-5877
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. AMY ANN MCCLUNG
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Credential | LPC, LMFT
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Telephone | 360-600-5877
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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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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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