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General NPI Number Information
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NPI Number | 1609289859
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Entity Type | Individual
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Provider Name | RHONDA GRAHAM MA, LPC, CAS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 1335 PHAY AVE
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City | CANON CITY
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State | CO
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Zip | 81212-2334
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Country | US
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Telephone | 719-877-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 PHAY AVE
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City | CANON CITY
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State | CO
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Zip | 81212-2334
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Country | US
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Telephone | 719-877-3338
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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 | NLC103554
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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 | .0019390
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License Number State | CO
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