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General NPI Number Information
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NPI Number | 1386941763
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Entity Type | Individual
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Provider Name | MARY ESTHER JOYCE LPC, CADC I
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Gender | Female
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Dates
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Enumeration Date | 02/19/2011
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 2775 SW 17TH PLACE SUITE 3
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City | REDMOND
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State | OR
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Zip | 97756
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Country | US
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Telephone | 503-690-0790
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Fax | 855-474-7377
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Provider Business Mailing Address
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Address Line | 2775 SW 17TH PLACE SUITE 3
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City | REDMOND
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State | OR
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Zip | 97756
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Country | US
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Telephone | 503-690-0790
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Fax | 855-474-7377
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R1626
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | OR2699
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License Number State | OR
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