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General NPI Number Information
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NPI Number | 1992651723
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE COUNSELING & WELLNESS, LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 5001 PACIFIC BLVD SW APT 86
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City | ALBANY
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State | OR
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Zip | 97321-8408
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Country | US
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Telephone | 775-583-7626
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201
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City | ALBANY
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State | OR
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Zip | 97321-0060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MARRIAGE AND FAMILY THERAPIST
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Name | KRISTINA A MCINTYRE
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Credential |
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Telephone | 775-870-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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