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General NPI Number Information
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NPI Number | 1164932265
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Entity Type | Individual
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Provider Name | LAURA RIVERA MA,LPC,NCC,CAS,ATP,C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 96 S ZUNI ST
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City | DENVER
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State | CO
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Zip | 80223-1209
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Country | US
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Telephone | 720-423-8900
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Fax | 303-252-4179
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Provider Business Mailing Address
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Address Line | 9028 GALE BLVD UNIT 1
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City | THORNTON
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State | CO
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Zip | 80260-4939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACC.0998560
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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 | LPC.0014500
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License Number State | CO
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