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General NPI Number Information
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NPI Number | 1770430431
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Entity Type | Organization
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Legal Business Name | TAKE THE REINS COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 915 NE 2ND ST
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City | GRESHAM
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State | OR
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Zip | 97030-7512
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Country | US
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Telephone | 971-373-6486
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Fax | 503-661-1033
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Provider Business Mailing Address
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Address Line | PO BOX 955
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City | GRESHAM
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State | OR
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Zip | 97030-0210
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Country | US
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Telephone | 971-373-6486
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Fax | 503-661-1033
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Authorized Official
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Title or Position | OWNER
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Name | JENETTE MUNDLIN
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Credential | LPC
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Telephone | 971-373-6486
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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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