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General NPI Number Information
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NPI Number | 1508470329
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Entity Type | Organization
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Legal Business Name | INSPIRED COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 161 HIGH ST SE STE 209
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City | SALEM
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State | OR
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Zip | 97301-3693
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Country | US
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Telephone | 503-560-0802
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Fax | 971-273-7253
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Provider Business Mailing Address
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Address Line | 161 HIGH ST SE STE 209
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City | SALEM
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State | OR
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Zip | 97301-3693
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Country | US
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Telephone | 503-560-0802
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Fax | 971-273-7253
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. CYNCHA PHILLIPS DATO
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Credential | LPC
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Telephone | 503-560-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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