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General NPI Number Information
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NPI Number | 1346385341
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Entity Type | Organization
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Legal Business Name | STARFISH COUNSELING, PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 12161 MERCADO DR UNIT 225
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City | VENICE
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State | FL
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Zip | 34293-1147
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Country | US
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Telephone | 719-635-0204
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Fax | 303-265-9858
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Provider Business Mailing Address
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Address Line | 12161 MERCADO DR UNIT 225
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City | VENICE
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State | FL
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Zip | 34293-1147
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Country | US
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Telephone | 719-635-0204
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Fax | 303-265-9858
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE ANNE BRAUKHOFF
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Credential | MA
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Telephone | 719-635-0204
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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 | 2137
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License Number State | CO
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