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General NPI Number Information
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NPI Number | 1033657176
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE ADDICTION SOLUTIONS LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 6402 S TROY CIRCLE SUITE 340
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City | CENTENNIAL
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State | CO
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Zip | 80111-8439
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Country | US
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Telephone | 303-214-5299
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Fax | 303-389-9423
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Provider Business Mailing Address
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Address Line | 6402 S TROY CIRCLE SUITE 340
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City | CENTENNIAL
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State | CO
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Zip | 80111-8439
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Country | US
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Telephone | 303-214-5299
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Fax | 303-389-9423
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Authorized Official
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Title or Position | OWNER
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Name | MS. LORRAINE K. BOCKMAN
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Credential | LCSW, LAC
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Telephone | 303-946-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 173
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 991984
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License Number State | CO
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