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General NPI Number Information
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NPI Number | 1306446505
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Entity Type | Organization
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Legal Business Name | RAE ANN BARTELS LPC LAC LLC
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 101 E 3RD ST STE 209
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City | RIFLE
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State | CO
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Zip | 81650-2317
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Country | US
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Telephone | 970-948-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BRYAN LOOP
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City | PARACHUTE
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State | CO
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Zip | 81635-7708
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Country | US
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Telephone | 970-948-5322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAE ANN BARTELS
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Credential | MA, LPC
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Telephone | 970-948-5322
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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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