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General NPI Number Information
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NPI Number | 1033026315
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Entity Type | Organization
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Legal Business Name | COOL BIRD COUNSELING LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 251 VIEW LN
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City | GUFFEY
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State | CO
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Zip | 80820-9667
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Country | US
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Telephone | 303-351-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 251 VIEW LN
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City | GUFFEY
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State | CO
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Zip | 80820-9667
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Country | US
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Telephone | 303-351-1068
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KELLY R FAUS
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Credential | MA, LPC, LAC
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Telephone | 303-351-1068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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