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General NPI Number Information
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NPI Number | 1487529160
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Entity Type | Organization
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Legal Business Name | BOUNCE BACK COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 623 JET CT
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-6081
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Country | US
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Telephone | 970-462-9589
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Fax | 970-549-0049
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Provider Business Mailing Address
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Address Line | 514 28 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-4961
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Country | US
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Telephone | 970-462-9589
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Fax | 970-549-0049
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Authorized Official
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Title or Position | LPC/OWNER
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Name | MONICA EVANS
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Credential | LPC
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Telephone | 435-862-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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