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General NPI Number Information
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NPI Number | 1457936619
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Entity Type | Organization
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Legal Business Name | VERA COUNSELING LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 4412 W EISENHOWER BLVD
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City | LOVELAND
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State | CO
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Zip | 80537-7907
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Country | US
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Telephone | 531-289-8375
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Fax | 888-959-0716
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Provider Business Mailing Address
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Address Line | PO BOX 7191
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City | LOVELAND
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State | CO
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Zip | 80537-0191
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Country | US
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Telephone | 531-289-8375
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Fax | 888-959-0716
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | BREANNA LYNN VERA
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Credential | LCSW LMHP
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Telephone | 531-289-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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