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General NPI Number Information
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NPI Number | 1275107005
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Entity Type | Individual
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Provider Name | NANCY GARRISON LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 214 8TH ST STE 203
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3312
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Country | US
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Telephone | 970-366-3967
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3358
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City | EAGLE
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State | CO
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Zip | 81631-3358
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Country | US
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Telephone | 970-390-3108
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0018300
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License Number State | CO
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