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General NPI Number Information
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NPI Number | 1700709375
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Entity Type | Organization
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Legal Business Name | ROXY ANN COUNSELING LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 33 N CENTRAL AVE STE 213
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City | MEDFORD
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State | OR
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Zip | 97501-5939
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Country | US
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Telephone | 541-690-8756
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Fax | 458-203-5051
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Provider Business Mailing Address
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Address Line | 1104 E JACKSON ST
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City | MEDFORD
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State | OR
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Zip | 97504-7029
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Country | US
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Telephone | 888-556-7282
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Fax | 458-203-5051
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Authorized Official
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Title or Position | OWNER
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Name | LACEY WATSON
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Credential |
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Telephone | 541-973-7333
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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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