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General NPI Number Information
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NPI Number | 1679382865
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Entity Type | Organization
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Legal Business Name | YOUR TRUE NORTH COUNSELING LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 190 NW 4TH ST
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City | PRINEVILLE
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State | OR
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Zip | 97754-1820
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Country | US
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Telephone | 458-281-3153
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Fax |
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Provider Business Mailing Address
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Address Line | 13574 SW HIGHWAY 126
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City | POWELL BUTTE
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State | OR
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Zip | 97753-1541
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Country | US
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Telephone | 541-480-6360
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Fax |
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Authorized Official
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Title or Position | OWNER / PRACTITIONER
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Name | MS. KADY STAFFORD
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Credential | LPC
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Telephone | 541-480-6360
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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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