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General NPI Number Information
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NPI Number | 1851517486
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Entity Type | Organization
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Legal Business Name | VALLEY COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2460 W NOB HILL ST SE
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City | SALEM
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State | OR
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Zip | 97302-4437
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Country | US
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Telephone | 503-585-2276
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 CROISAN SCENIC WAY S
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City | SALEM
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State | OR
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Zip | 97302-3658
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Country | US
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Telephone | 503-585-2276
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON HILTON
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Credential |
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Telephone | 503-585-2276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1289
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License Number State | OR
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