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General NPI Number Information
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NPI Number | 1730088238
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Entity Type | Organization
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Legal Business Name | PEAK LIFE COUNSELING LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 410 MILL ST SE # 703
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City | SALEM
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State | OR
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Zip | 97301-3601
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Country | US
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Telephone | 503-967-5343
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Fax | 503-967-5413
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Provider Business Mailing Address
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Address Line | 1149 SCHURMAN DR S
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City | SALEM
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State | OR
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Zip | 97302-5896
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Country | US
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Telephone | 503-967-5343
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Fax | 503-967-5413
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ERIN LACY
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Credential | LPC
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Telephone | 503-967-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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