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General NPI Number Information
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NPI Number | 1578384343
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Entity Type | Individual
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Provider Name | RACHAEL JACOBS MFTC,LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 3841 1/2 W 39TH AVE
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City | DENVER
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State | CO
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Zip | 80211-1907
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Country | US
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Telephone | 303-717-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 888
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 303-717-0229
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0021864
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTC.0014650
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License Number State | CO
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