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General NPI Number Information
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NPI Number | 1376927897
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PROFESSIONAL COUNSELING
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 17150 UNIVERSITY AVE SUITE 101
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City | SANDY
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State | OR
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Zip | 97055-9290
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Country | US
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Telephone | 503-223-8642
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Fax |
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Provider Business Mailing Address
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Address Line | 17150 UNIVERSITY AVE SUITE 101
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City | SANDY
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State | OR
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Zip | 97055-9290
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Country | US
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Telephone | 503-223-8642
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID WENZEL
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Credential | PH.D., LPC
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Telephone | 503-223-8642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1012
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License Number State | OR
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