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General NPI Number Information
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NPI Number | 1154707396
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Entity Type | Organization
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Legal Business Name | DENVER CENTER FOR INTEGRATED COUNSELING LLC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 8000 E PRENTICE AVE STE B2
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2726
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Country | US
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Telephone | 515-229-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 E PRENTICE AVE STE B2
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2726
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Country | US
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Telephone | 515-229-6777
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | PATRICK GERARD WEEG
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Credential | LCSW
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Telephone | 515-229-6777
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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 | 2585
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09923512
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License Number State | CO
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