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General NPI Number Information
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NPI Number | 1053240176
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Entity Type | Organization
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Legal Business Name | MONIQUE VINCENT COUNSELING, LLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 2679 IRIS AVENUE OFFICE 107
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City | BOULDER
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State | CO
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Zip | 80304
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Country | US
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Telephone | 774-217-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 3055 29TH ST APT 102
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City | BOULDER
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State | CO
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Zip | 80301-1323
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Country | US
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Telephone | 774-217-0359
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MONIQUE VINCENT
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Credential | MA, LAC, LPCC, NCC
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Telephone | 720-340-2722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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