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General NPI Number Information
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NPI Number | 1366271421
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Entity Type | Organization
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Legal Business Name | WOU - STUDENT HEALTH AND COUNSELING CENT
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 345 MONMOUTH AVE N
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City | MONMOUTH
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State | OR
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Zip | 97361-1329
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Country | US
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Telephone | 503-838-8313
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Fax | 503-838-8801
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Provider Business Mailing Address
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Address Line | 345 MONMOUTH AVE N
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City | MONMOUTH
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State | OR
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Zip | 97361-1329
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Country | US
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Telephone | 503-838-8313
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Fax | 503-838-8801
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Authorized Official
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Title or Position | DIRECTOR/LICENSED PROF COUNSELOR
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Name | ELIZABETH SCROGGINS
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Credential | LPC
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Telephone | 503-838-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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