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General NPI Number Information
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NPI Number | 1326207473
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Entity Type | Individual
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Provider Name | JENNIFER L SANDBERG MA, LPC, NBCC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 6901 S PIERCE ST SUITE 386
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City | LITTLETON
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State | CO
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Zip | 80128-4552
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Country | US
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Telephone | 303-585-1791
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Fax | 303-265-9409
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Provider Business Mailing Address
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Address Line | 6901 S PIERCE ST SUITE 386
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City | LITTLETON
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State | CO
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Zip | 80128-4552
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Country | US
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Telephone | 303-585-1791
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Fax | 303-265-9409
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6177
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License Number State | CO
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