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General NPI Number Information
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NPI Number | 1154650455
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS COUNSELING, LLC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 1635 FOXTRAIL DR
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City | LOVELAND
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State | CO
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Zip | 80538-9086
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Country | US
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Telephone | 970-227-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 FOXTRAIL DR
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City | LOVELAND
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State | CO
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Zip | 80538-9086
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Country | US
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Telephone | 970-227-2770
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHRIS BERGER
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Credential | M.A., NCC
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Telephone | 970-227-2770
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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 | 9852
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9852
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License Number State | CO
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