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General NPI Number Information
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NPI Number | 1093535965
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Entity Type | Organization
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Legal Business Name | AUTUMN ARISE COUNSELING & CONSULTING
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1090 S WADSWORTH BLVD UNIT C-7138
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City | LAKEWOOD
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State | CO
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Zip | 80226-4328
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Country | US
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Telephone | 720-608-1697
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 S WADSWORTH BLVD UNIT C-7138
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City | LAKEWOOD
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State | CO
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Zip | 80226-4328
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Country | US
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Telephone | 720-608-1697
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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 | AUTUMN MOONEY
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Credential | LPC, LAC
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Telephone | 720-608-1697
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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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