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General NPI Number Information
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NPI Number | 1871428797
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Entity Type | Organization
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Legal Business Name | LLAMA A UN AMIGO
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 348 S PINE ST
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City | CARLTON
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State | OR
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Zip | 97111-1228
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Country | US
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Telephone | 971-297-8297
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Fax |
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Provider Business Mailing Address
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Address Line | 348 S PINE ST
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City | CARLTON
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State | OR
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Zip | 97111-1228
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Country | US
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Telephone | 971-297-8297
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH PROVIDER
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Name | ESTENIO E SEDE EDUARDO
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Credential |
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Telephone | 971-297-8297
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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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