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General NPI Number Information
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NPI Number | 1780149955
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Entity Type | Individual
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Provider Name | ANNA KIM SCHULZ MA, LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 3000 NE STUCKI AVE STE 230
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City | HILLSBORO
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State | OR
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Zip | 97124-7328
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Country | US
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Telephone | 503-591-8322
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Fax |
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Provider Business Mailing Address
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Address Line | 103 PONDEROSA LN STE B
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City | KALISPELL
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State | MT
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Zip | 59901-6833
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Country | US
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Telephone | 406-272-5996
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C6599
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-REN-58203.
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License Number State | MT
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