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General NPI Number Information
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NPI Number | 1467995787
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Entity Type | Individual
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Provider Name | ROBERT JOSLYN MA, LAC, LPCC
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Gender | Male
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 5390 N ACADEMY BLVD STE 330
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4176
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Country | US
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Telephone | 719-466-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 2270 LA MONTANA WAY STE 201
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6700
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Country | US
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Telephone | 719-528-3500
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Fax | 719-528-2433
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0000632
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14603
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0014685
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License Number State | CO
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