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General NPI Number Information
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NPI Number | 1306334289
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Entity Type | Individual
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Provider Name | MICHAEL SOUSA LPC
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Gender | Male
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST # 5642
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 970-239-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST # 5642
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 970-239-1743
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2025030498
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License Number State | MO
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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 | 0019681
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License Number State | CO
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