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General NPI Number Information
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NPI Number | 1659691038
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Entity Type | Organization
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Legal Business Name | JEANNETTE ROWELL
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 495 STATE ST #340
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City | SALEM
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State | OR
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Zip | 97301-4384
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Country | US
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Telephone | 503-365-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 495 STATE ST #340
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City | SALEM
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State | OR
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Zip | 97301-4384
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Country | US
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Telephone | 503-365-8111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEANNETTE R ROWELL
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Credential | LPC
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Telephone | 503-365-8111
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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 | C2357
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License Number State | OR
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