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General NPI Number Information
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NPI Number | 1699638304
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Entity Type | Organization
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Legal Business Name | UNDERSTANDING SHADOW & LIGHT COUNSELING
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1326 NE 74TH AVE
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City | PORTLAND
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State | OR
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Zip | 97213-6121
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Country | US
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Telephone | 971-379-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 NE 74TH AVE
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City | PORTLAND
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State | OR
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Zip | 97213-6121
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Country | US
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Telephone | 971-379-0777
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | KAREN LEE
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Credential | CSWA
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Telephone | 971-379-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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