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General NPI Number Information
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NPI Number | 1275882110
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Entity Type | Organization
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Legal Business Name | CENTRAL COUNSELING P.C.
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 8704 YATES DR SUITE 205
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City | WESTMINSTER
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State | CO
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Zip | 80031-6950
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Country | US
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Telephone | 303-578-2681
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Fax | 303-900-1459
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Provider Business Mailing Address
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Address Line | 8704 YATES DR SUITE 205
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City | WESTMINSTER
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State | CO
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Zip | 80031-6950
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Country | US
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Telephone | 303-578-2681
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Fax | 303-900-1459
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Authorized Official
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Title or Position | OWNER
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Name | MIKE FOSTER
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Credential | LPC
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Telephone | 720-280-9272
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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 | 5407
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License Number State | CO
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