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NPI 1043300452

NPI 1043300452 : KAREN JULIOT REINERTSEN LPC : GRAND JUNCTION, CO

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General NPI Number Information
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    NPI Number           |    1043300452
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN JULIOT REINERTSEN LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    940 COLORADO AVE 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81501
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    Country              |    US
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    Telephone            |    970-241-4273
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    Fax                  |    970-255-6525
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1416 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81502-1416
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    Country              |    US
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    Telephone            |    970-241-4273
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    Fax                  |    970-255-6525
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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       |    LPC1224
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    License Number State |    CO
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