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General NPI Number Information
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NPI Number | 1801492509
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Entity Type | Organization
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Legal Business Name | STILL WATERS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 5200 MEADOWS RD STE 200
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-0086
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Country | US
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Telephone | 541-975-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 MEADOWS RD STE 200
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-0086
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Country | US
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Telephone | 541-975-3868
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Fax | 503-300-2809
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Authorized Official
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Title or Position | OWNER
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Name | MEEGAN FAY HARP
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Credential | LMFT
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Telephone | 541-786-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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