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General NPI Number Information
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NPI Number | 1104275841
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Entity Type | Organization
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Legal Business Name | ERIE COLORADO COUNSELING PLLC
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1687 W LAUREL GLEN PATH
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City | HERNANDO
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State | FL
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Zip | 34442-6301
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Country | US
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Telephone | 720-504-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 1687 W LAUREL GLEN PATH
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City | HERNANDO
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State | FL
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Zip | 34442-6301
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Country | US
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Telephone | 720-504-9444
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Fax | 303-997-8276
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Authorized Official
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Title or Position | OWNER
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Name | DR. JODI J DE LUCA
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Credential | PHD
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Telephone | 720-504-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 3669
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License Number State | CO
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