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General NPI Number Information
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NPI Number | 1255422648
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Entity Type | Individual
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Provider Name | YVONNE DEMOSS PHD, LPC, CACIII
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 6638 W OTTAWA AVE STE 180
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City | LITTLETON
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State | CO
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Zip | 80128-4566
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Country | US
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Telephone | 303-979-1972
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Fax | 303-972-6641
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Provider Business Mailing Address
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Address Line | 6638 W. OTTAWA AVENUE, SUITE 170-3
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City | LITTLETON
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State | CO
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Zip | 80128
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Country | US
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Telephone | 303-979-1972
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Fax | 303-972-6641
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1847
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License Number State | CO
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