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General NPI Number Information
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NPI Number | 1447139423
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Entity Type | Organization
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Legal Business Name | CAMINO COUNSELING P.L.L.C.
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1170 COLORADO AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3523
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Country | US
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Telephone | 970-200-8422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 921
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-0921
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Country | US
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Telephone | 970-200-8422
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | MIRELLA JASSO
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Credential | MS, LPC, ADDC
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Telephone | 970-200-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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