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General NPI Number Information
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NPI Number | 1093679813
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Entity Type | Organization
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Legal Business Name | COLORADO CHRISTIAN UNIVERSITY COMMUNITY COUNSELING CENTER
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1125 KELLY JOHNSON BLVD STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3930
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Country | US
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Telephone | 719-867-5805
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 KELLY JOHNSON BLVD STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRENTON LANGHOFER
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Credential |
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Telephone | 316-992-3062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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