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General NPI Number Information
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NPI Number | 1225623416
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Entity Type | Individual
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Provider Name | AMANDA FITZGERALD M.A., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1807 W 10TH ST
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City | LOVELAND
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State | CO
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Zip | 80537-4426
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Country | US
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Telephone | 303-385-3957
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 W 10TH ST
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City | LOVELAND
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State | CO
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Zip | 80537-4426
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Country | US
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Telephone | 303-385-3957
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 253176
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0015777
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License Number State | CO
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