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General NPI Number Information
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NPI Number | 1487029583
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Entity Type | Organization
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Legal Business Name | FRESH PERSPECTIVES COUNSELING
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 320 N MAIN AVE SUITE 210
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City | GRESHAM
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State | OR
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Zip | 97030-7242
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Country | US
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Telephone | 971-400-5333
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Fax | 503-669-6446
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Provider Business Mailing Address
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Address Line | 320 N MAIN AVE SUITE 210
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City | GRESHAM
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State | OR
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Zip | 97030-7242
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Country | US
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Telephone | 971-400-5333
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Fax | 503-669-6446
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | MS. TERESA DAWN KEHRLI
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Credential | LPC
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Telephone | 971-400-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | C3552
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License Number State | OR
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