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General NPI Number Information
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NPI Number | 1578288932
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Entity Type | Organization
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Legal Business Name | THE COUNSELING PLACE LLC
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 699 SW 15TH ST STE 1461
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City | CORVALLIS
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State | OR
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Zip | 97333-4840
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Country | US
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Telephone | 541-250-0312
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Fax |
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Provider Business Mailing Address
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Address Line | 699 SW 15TH ST STE 1461
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City | CORVALLIS
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State | OR
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Zip | 97333-4840
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Country | US
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Telephone | 541-250-0312
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN MICHELLE SWANGER TOST
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Credential | MA, LPC
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Telephone | 541-760-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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