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General NPI Number Information
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NPI Number | 1285497545
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Entity Type | Organization
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Legal Business Name | RESOLUTION PEAK COUNSELING
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 1079 S HOVER ST STE 200
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City | LONGMONT
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State | CO
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Zip | 80501-7924
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Country | US
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Telephone | 720-819-6133
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Fax | 720-204-7266
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Provider Business Mailing Address
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Address Line | 4245 FLORENTINE DR
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City | LONGMONT
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State | CO
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Zip | 80503-6485
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Country | US
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Telephone | 720-534-1875
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Fax | 720-204-7266
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | ROBIN KLEISLER
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Credential | LPC, LAC, MAC, ACS
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Telephone | 720-534-1875
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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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