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NPI 1851376669

NPI 1851376669 : TM COUNSELING & CONSULTING : PENDLETON, OR

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General NPI Number Information
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    NPI Number           |    1851376669
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    Entity Type          |    Organization 
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    Legal Business Name  |    TM COUNSELING & CONSULTING 
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Dates
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    Enumeration Date     |    12/14/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    920 SW FRAZER SUITE #214
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    City                 |    PENDLETON
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    State                |    OR
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    Zip                  |    97801
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    Country              |    US
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    Telephone            |    541-276-1022
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    Fax                  |    541-966-9130
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Provider Business Mailing Address
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    Address Line         |    920 SW FRAZER SUITE #214
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    City                 |    PENDLETON
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    State                |    OR
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    Zip                  |    97801
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    Country              |    US
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    Telephone            |    541-276-1022
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    Fax                  |    541-966-9130
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Authorized Official
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    Title or Position    |    OWNER  PROGRAM DIRECTOR
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    Name                 |    MS. TARA  MAHONEY 
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    Credential           |    CADC II  NCAC I
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    Telephone            |    541-276-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    CADCII 001147
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    NCACI013814
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    License Number State |    OR
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