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General NPI Number Information
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NPI Number | 1346966686
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Entity Type | Organization
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Legal Business Name | GRAND VALLEY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 2478 PATTERSON RD STE 26
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-3606
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Country | US
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Telephone | 575-642-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 PRITCHARD MESA CT
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-9401
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Country | US
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Telephone | 575-642-7354
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LINDA KEMP
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Credential |
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Telephone | 575-642-7354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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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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