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General NPI Number Information
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NPI Number | 1245904911
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Entity Type | Organization
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Legal Business Name | CULTIVATE YOU COUNSELING, LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 12/11/2021
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Provider Practice Location Address
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Address Line | 1738 WYNKOOP ST
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City | DENVER
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State | CO
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Zip | 80202-5925
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Country | US
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Telephone | 720-295-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 S. UNIVERSITY BLVD. C-18 #238
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80121-2503
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Country | US
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Telephone | 720-295-8781
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SHAUN MICHAEL FISCHLER
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Credential | LPC, LAC
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Telephone | 720-295-8781
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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 |
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License Number State |
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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 |
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License Number State |
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