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NPI 1245849736

NPI 1245849736 : CHILDREN'S WELLNESS CENTER OF COLORADO : STEAMBOAT SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1245849736
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILDREN'S WELLNESS CENTER OF COLORADO 
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Dates
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    Enumeration Date     |    07/30/2020
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    Last Update Date     |    08/17/2020
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Provider Practice Location Address
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    Address Line         |    2220 CURVE PLAZA SUITE 203
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    City                 |    STEAMBOAT SPRINGS
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    State                |    CO
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    Zip                  |    80487
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    Country              |    US
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    Telephone            |    720-662-7862
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    Fax                  |    720-573-2862
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Provider Business Mailing Address
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    Address Line         |    12150 E BRIARWOOD AVE UNIT 202 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-6755
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    Country              |    US
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    Telephone            |    720-662-7862
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    Fax                  |    720-573-2862
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Authorized Official
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    Title or Position    |    COOWNER
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    Name                 |     CHRISTINE WERNER GARCIA 
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    Credential           |    
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    Telephone            |    720-662-7862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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