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General NPI Number Information
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NPI Number | 1548844699
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Entity Type | Individual
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Provider Name | ROSLYN MARIAH ESPINOZA LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 720 N MAIN ST STE 330
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City | PUEBLO
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State | CO
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Zip | 81003-3047
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Country | US
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Telephone | 719-569-7909
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 E RESNIK DR
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City | PUEBLO
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State | CO
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Zip | 81007-3965
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Country | US
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Telephone | 719-569-7909
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Fax |
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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 | ACA.0008056
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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 | LPCC.0023543
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License Number State | CO
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