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General NPI Number Information
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NPI Number | 1396368684
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Entity Type | Individual
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Provider Name | MICHELE VANGELAS LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 313 NE WILLIAMS ST
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City | DUFUR
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State | OR
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Zip | 97021
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Country | US
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Telephone | 907-799-6476
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | DUFUR
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State | OR
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Zip | 97021-0172
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Country | US
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Telephone | 907-799-6476
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C8381
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 202670
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH61552694
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LCPC-10369
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License Number State | ID
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Taxonomy #5
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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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