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General NPI Number Information
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NPI Number | 1083428064
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Entity Type | Organization
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Legal Business Name | WILD ROSE COUNSELING LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3300 ARAPAHOE AVE STE 203
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City | BOULDER
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State | CO
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Zip | 80303-1044
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Country | US
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Telephone | 303-834-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 STARBOARD CT
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City | BOULDER
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State | CO
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Zip | 80301-3127
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Country | US
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Telephone | 303-834-7380
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST AND OWNER
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Name | JACQUELINE ROSE RICHARDS-SHRESTHA
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Credential | MA, LPC
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Telephone | 303-834-7380
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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