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General NPI Number Information
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NPI Number | 1891206199
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Entity Type | Individual
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Provider Name | JONA BEHRER MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2931 NE BROADWAY ST
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City | PORTLAND
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State | OR
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Zip | 97232-1760
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Country | US
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Telephone | 971-361-8788
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Fax | 971-275-1749
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Provider Business Mailing Address
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Address Line | 2050 NE HOYT ST APT 524
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City | PORTLAND
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State | OR
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Zip | 97232-3659
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Country | US
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Telephone | 971-361-8788
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C4670
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License Number State | OR
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