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General NPI Number Information
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NPI Number | 1588342679
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Entity Type | Organization
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Legal Business Name | STEPPING STONES WELLNESS, LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 25014 HALL RD
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City | CHESHIRE
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State | OR
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Zip | 97419-9732
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Country | US
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Telephone | 541-521-3431
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Fax |
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Provider Business Mailing Address
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Address Line | 25014 HALL RD
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City | CHESHIRE
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State | OR
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Zip | 97419-9732
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Country | US
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Telephone | 541-521-3431
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | COURTNEY LEE BESOTES
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Credential | LCSW
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Telephone | 541-521-3431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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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