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General NPI Number Information
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NPI Number | 1790604890
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Entity Type | Organization
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Legal Business Name | MINDED LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1605 SISKIYOU BLVD
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City | ASHLAND
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State | OR
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Zip | 97520-2400
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Country | US
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Telephone | 541-625-9112
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Fax | 310-692-9855
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Provider Business Mailing Address
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Address Line | 11751 DEAD INDIAN MEMORIAL RD
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City | ASHLAND
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State | OR
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Zip | 97520-9757
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Country | US
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Telephone | 541-625-9112
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Fax | 310-692-9855
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | AMANDA JEAN ANDERSEN
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Credential | LMFT
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Telephone | 949-344-6566
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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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