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General NPI Number Information
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NPI Number | 1932746302
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Entity Type | Organization
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Legal Business Name | LYNNE COON COUNSELING, LLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1340 SW BERTHA BLVD STE 202
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City | PORTLAND
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State | OR
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Zip | 97219-2096
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Country | US
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Telephone | 503-243-2283
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Fax | 503-894-7393
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Provider Business Mailing Address
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Address Line | 1340 SW BERTHA BLVD STE 202
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City | PORTLAND
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State | OR
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Zip | 97219-2096
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Country | US
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Telephone | 503-243-2283
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Fax | 503-894-7393
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | LYNNE COON
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Credential | LPC
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Telephone | 503-243-2283
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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 |
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License Number State |
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