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General NPI Number Information
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NPI Number | 1356214316
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Entity Type | Organization
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Legal Business Name | SOUL SESSIONS PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 323 NE POMONA ST APT 101
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City | ROSEBURG
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State | OR
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Zip | 97470-8075
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Country | US
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Telephone | 832-224-5875
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Fax |
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Provider Business Mailing Address
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Address Line | 323 NE POMONA ST APT 101
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City | ROSEBURG
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State | OR
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Zip | 97470-8075
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Country | US
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Telephone | 832-224-5875
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JENNIFER ZIMMER
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Credential | LPC
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Telephone | 713-653-3754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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