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General NPI Number Information
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NPI Number | 1033518907
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Entity Type | Organization
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Legal Business Name | LMD COLORADO COUNSELING, LLC
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Dates
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Enumeration Date | 08/17/2014
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Last Update Date | 08/17/2014
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Provider Practice Location Address
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Address Line | 2855 N SPEER BLVD SUITE C
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 720-588-0487
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 N SPEER BLVD SUITE C
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 720-588-0487
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | LAURA M DREILING
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Credential | MS, MFT-C
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Telephone | 720-588-0487
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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 | MFTC.0013412
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License Number State | CO
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