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General NPI Number Information
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NPI Number | 1417787094
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Entity Type | Organization
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Legal Business Name | AB COUNSELING GROUP
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 1030 JOHNSON RD # 320
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City | GOLDEN
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State | CO
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Zip | 80401-6003
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Country | US
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Telephone | 303-257-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 JOHNSON RD # 320
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City | GOLDEN
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State | CO
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Zip | 80401-6003
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Country | US
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Telephone | 303-257-8900
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CLINICAL DIRECTOR
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Name | ADDY BETHE
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Credential | LPC-S
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Telephone | 303-257-8900
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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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