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General NPI Number Information
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NPI Number | 1083400956
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Entity Type | Organization
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Legal Business Name | GRACE ABOUNDS COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 6312 S FIDDLERS GREEN CIR STE 300E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4831
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Country | US
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Telephone | 720-706-1119
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Fax |
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Provider Business Mailing Address
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Address Line | 6312 S FIDDLERS GREEN CIR STE 300E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4831
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Country | US
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Telephone | 720-706-1119
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACIE MAE VANDERLOO
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Credential | LPC
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Telephone | 720-706-1119
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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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