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General NPI Number Information
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NPI Number | 1508721713
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Entity Type | Organization
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Legal Business Name | PASSAGES FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 600 S AIRPORT RD STE G
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City | LONGMONT
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State | CO
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Zip | 80503-6424
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Country | US
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Telephone | 303-630-9433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1534
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City | SPRING VALLEY
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State | CA
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Zip | 91979-1534
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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 | PRESIDENT
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Name | TAMARA GRAFF
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Credential | LMFT
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Telephone | 619-784-1032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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