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General NPI Number Information
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NPI Number | 1114462801
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Entity Type | Organization
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Legal Business Name | CMB COUNSELING LLC
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 609 W LITTLETON BLVD STE 201
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City | LITTLETON
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State | CO
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Zip | 80120-2352
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Country | US
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Telephone | 720-446-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 6642 JACKSON CT
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-4173
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Country | US
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Telephone | 630-967-8670
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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 | CHRISTINA MARGALA BROWN
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Credential | MS, M.ED, NCC, LPC
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Telephone | 630-967-8670
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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 | LPC.0013461
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License Number State | CO
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