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General NPI Number Information
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NPI Number | 1134642978
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Entity Type | Organization
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Legal Business Name | MOUNTAIN PEAKS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/24/2017
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Provider Practice Location Address
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Address Line | 12760 STROH RANCH WAY STE 201
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City | PARKER
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State | CO
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Zip | 80134-7507
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Country | US
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Telephone | 909-573-9327
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Fax |
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Provider Business Mailing Address
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Address Line | 5109 BUR OAK LN
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City | PARKER
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State | CO
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Zip | 80134-5470
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Country | US
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Telephone | 909-573-9327
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. RENEE CAWLEY
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Credential | MSC, NCE, LPC
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Telephone | 909-573-9327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC.0012885
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License Number State | CO
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