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General NPI Number Information
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NPI Number | 1063876415
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Entity Type | Organization
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Legal Business Name | MAGNUM OPUS COUNSELING, LLC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 7475 W 5TH AVE STE 211
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City | LAKEWOOD
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State | CO
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Zip | 80226-1674
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Country | US
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Telephone | 720-301-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 7475 W 5TH AVE STE 211
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City | LAKEWOOD
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State | CO
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Zip | 80226-1674
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Country | US
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Telephone | 720-301-2829
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MARK WHITNEY
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Credential | LPC, NCC
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Telephone | 720-301-2829
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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 | LPC.0011948
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License Number State | CO
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