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General NPI Number Information
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NPI Number | 1992558373
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Entity Type | Organization
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Legal Business Name | TRUE NORTH INTEGRATIVE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2326 SW GLACIER PL
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City | REDMOND
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State | OR
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Zip | 97756-7626
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Country | US
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Telephone | 503-949-4119
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 SW GLACIER PL
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City | REDMOND
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State | OR
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Zip | 97756-7626
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Country | US
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Telephone | 503-949-4119
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Fax |
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Authorized Official
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Title or Position | M.H. COUNSELOR/EXECUTIVE DIRECTOR
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Name | SHELIA MARIE DANZUKA
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Credential | MA, MFT, MSW, CSWA
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Telephone | 503-949-4119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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