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General NPI Number Information
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NPI Number | 1891658852
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Entity Type | Organization
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Legal Business Name | SYNERGY COUNSELING LLC
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 11950 SW 2ND ST STE 200A
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City | BEAVERTON
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State | OR
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Zip | 97005-8923
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Country | US
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Telephone | 971-238-8241
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Fax |
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Provider Business Mailing Address
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Address Line | 11950 SW 2ND ST STE 200A
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City | BEAVERTON
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State | OR
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Zip | 97005-8923
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Country | US
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Telephone | 971-238-8241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LUIS DAVID CAPESTANY
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Credential | LPC
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Telephone | 971-294-7197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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