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General NPI Number Information
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NPI Number | 1306537733
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 5236 STRAUSS CABIN RD
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City | FORT COLLINS
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State | CO
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Zip | 80528-9555
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Country | US
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Telephone | 970-413-8998
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Fax | 970-413-8998
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Provider Business Mailing Address
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Address Line | 5236 STRAUSS CABIN RD
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City | FORT COLLINS
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State | CO
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Zip | 80528-9555
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Country | US
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Telephone | 970-413-8998
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Fax | 970-413-8998
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINE BASSETT
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Credential | LMFT
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Telephone | 970-690-9350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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