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General NPI Number Information
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NPI Number | 1356051775
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Entity Type | Organization
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Legal Business Name | GROWTH AND TRANSITIONS MENTAL HEALTH COUNSELING AND CONSULTATION
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 3763 IMPERIAL ST UNIT B
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City | FREDERICK
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State | CO
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Zip | 80516-9409
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Country | US
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Telephone | 719-924-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 3763 IMPERIAL ST UNIT B
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City | FREDERICK
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State | CO
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Zip | 80516-9409
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Country | US
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Telephone | 719-924-5549
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CRYSTAL KAY MCCUBBIN
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Credential | LPC, LAC
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Telephone | 720-329-3854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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