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General NPI Number Information
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NPI Number | 1245784990
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Entity Type | Organization
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Legal Business Name | INNER PEACE COUNSELING LLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 1633 FILLMORE ST STE 390
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City | DENVER
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State | CO
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Zip | 80206-1586
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Country | US
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Telephone | 303-324-7939
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 FILLMORE ST STE 390
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City | DENVER
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State | CO
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Zip | 80206-1586
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Country | US
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Telephone | 303-324-7939
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. LORI BETH MORSE
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Credential | MA LPC
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Telephone | 303-324-7939
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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 | 5410
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License Number State | CO
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