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General NPI Number Information
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NPI Number | 1417593351
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Entity Type | Individual
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Provider Name | ATHENA C WEGGLER LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 9959 SE DUNDEE DR
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City | CLACKAMAS
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State | OR
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Zip | 97086-9730
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Country | US
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Telephone | 971-208-5639
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Fax |
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Provider Business Mailing Address
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Address Line | 9009 SE ADAMS ST UNIT 3136
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City | CLACKAMAS
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State | OR
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Zip | 97015-1168
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C7210
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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 | 8914
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License Number State | MA
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