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General NPI Number Information
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NPI Number | 1417370636
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Entity Type | Individual
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Provider Name | ROBERTA K GORSUCH LPC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8301 E PRENTICE AVE STE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2906
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Country | US
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Telephone | 720-489-8555
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Fax | 720-489-8304
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Provider Business Mailing Address
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Address Line | 18510 E MAINSTREET APT 1-206
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City | PARKER
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State | CO
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Zip | 80134-4989
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Country | US
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Telephone | 307-286-4225
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PPC-813
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License Number State | WY
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