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General NPI Number Information
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NPI Number | 1972390342
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Entity Type | Individual
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Provider Name | CHRISTINE JANENE DUCHATEAU BA, MA PSYCH
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 128 W ANTLER AVE
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City | REDMOND
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State | OR
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Zip | 97756-1852
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Country | US
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Telephone | 541-255-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 8832 40 AVENUE NW 5800 SE JERRY DR. PRINEVILLE, OREGON 97754 UNITED STATE
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City | EDMONTON
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State | AB
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Zip | T6K 1G5
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Country | CA
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C5089
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License Number State | OR
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