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NPI 1609419571

NPI 1609419571 : BILINGUAL COUNSELING SERVICES, LLC : ARVADA, CO

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General NPI Number Information
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    NPI Number           |    1609419571
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    Entity Type          |    Organization 
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    Legal Business Name  |    BILINGUAL COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    10/23/2019
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    Last Update Date     |    11/03/2020
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Provider Practice Location Address
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    Address Line         |    5400 WARD RD STE 110 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80002-1819
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    Country              |    US
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    Telephone            |    720-446-8701
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7195 ROUTT ST 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80004-1375
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    Country              |    US
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    Telephone            |    720-446-8701
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CLINICIAN
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    Name                 |     GLORY  MCDANIEL 
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    Credential           |    ACD.0001212
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    Telephone            |    720-446-8701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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