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General NPI Number Information
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NPI Number | 1922273283
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Entity Type | Organization
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Legal Business Name | HEARTFELT COUNSELING, PC
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 535 SE WASHINGTON ST
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City | HILLSBORO
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State | OR
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Zip | 97123-4142
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Country | US
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Telephone | 503-693-6697
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Fax | 503-693-0737
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Provider Business Mailing Address
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Address Line | 535 SE WASHINGTON ST
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City | HILLSBORO
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State | OR
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Zip | 97123-4142
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Country | US
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Telephone | 503-693-6697
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Fax | 503-693-0737
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. VICKIE KINDER WHITEHEAD
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Credential | LCSW
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Telephone | 503-693-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | OR 2005
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License Number State | OR
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