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General NPI Number Information
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NPI Number | 1447683792
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Entity Type | Individual
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Provider Name | CASSIA MORTON MCOUN., LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 850 E. CENTER
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City | POC.
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State | ID
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Zip | 83201
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Country | US
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Telephone | 208-232-6227
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Fax | 208-231-3680
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Provider Business Mailing Address
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Address Line | PO BOX 1292
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-9114
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Country | US
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Telephone | 208-251-7483
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Fax | 208-231-3680
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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 | LCPC-4599
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-C6692
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-4599
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License Number State | ID
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