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General NPI Number Information
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NPI Number | 1336083666
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Entity Type | Organization
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Legal Business Name | RENEW COUNSELING CENTER LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 2101 16TH ST
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City | GREELEY
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State | CO
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Zip | 80631-5116
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Country | US
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Telephone | 303-656-5721
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Fax |
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Provider Business Mailing Address
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Address Line | 1864 36TH AVENUE CT
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City | GREELEY
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State | CO
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Zip | 80634-2827
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Country | US
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Telephone | 303-656-5721
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. JESSICA PAUL
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Credential | MA
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Telephone | 303-656-5721
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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 |
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License Number State |
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