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General NPI Number Information
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NPI Number | 1508772278
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Entity Type | Organization
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Legal Business Name | ADVANCED TRAUMA COUNSELING
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 127 N MAIN ST
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City | HEPPNER
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State | OR
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Zip | 97836-5001
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Country | US
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Telephone | 541-626-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 850 LAKEVIEW CT
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City | HEPPNER
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State | OR
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Zip | 97836-6389
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Country | US
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Telephone | 541-626-6611
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CHRISTOPHER GEORGE HUMPHREYS
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Credential | LPC
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Telephone | 541-626-6611
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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