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General NPI Number Information
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NPI Number | 1174561088
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Entity Type | Organization
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Legal Business Name | WHITE RIVER COUNSELING, INC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 758 RAILROAD AVE
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City | RIFLE
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State | CO
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Zip | 81650-3552
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Country | US
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Telephone | 970-625-3416
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Fax | 970-625-5663
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Provider Business Mailing Address
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Address Line | 758 RAILROAD AVE
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City | RIFLE
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State | CO
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Zip | 81650-3552
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Country | US
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Telephone | 970-625-3416
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Fax | 970-625-5663
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. WARREN B HUMBLE
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Credential | MA
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Telephone | 970-625-3416
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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 | ACC667
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | NCACII013598
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC501
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License Number State | CO
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