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General NPI Number Information
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NPI Number | 1013835107
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Entity Type | Individual
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Provider Name | AMANDA POIRIER
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 10 BOULDER CRESCENT ST STE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3358
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Country | US
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Telephone | 719-966-7037
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Fax | 719-654-1112
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Provider Business Mailing Address
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Address Line | 4136 BAYTOWN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80916-3025
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Country | US
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Telephone | 610-390-7479
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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 | 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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