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General NPI Number Information
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NPI Number | 1487498887
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Entity Type | Organization
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Legal Business Name | GRAND MESA COUNSELING LLC
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 336 MAIN ST STE 206
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2458
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Country | US
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Telephone | 970-462-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 712 GLEN CT UNIT 10
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8276
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA GIEGER
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Credential |
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Telephone | 970-462-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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