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General NPI Number Information
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NPI Number | 1952746331
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Entity Type | Organization
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Legal Business Name | SEASONS COUNSELING, INC.
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 730 HAWTHORNE AVE NE
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City | SALEM
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State | OR
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Zip | 97301-4674
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Country | US
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Telephone | 503-674-3990
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Fax | 775-320-4872
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Provider Business Mailing Address
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Address Line | 730 HAWTHORNE AVE NE
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City | SALEM
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State | OR
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Zip | 97301-4674
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Country | US
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Telephone | 503-674-3990
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Fax | 775-320-4872
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONNA PADGETT
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Credential | CADC II
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Telephone | 503-585-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 980470
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License Number State | OR
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