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General NPI Number Information
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NPI Number | 1609741081
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Entity Type | Organization
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Legal Business Name | COLORADO ONLINE COUNSELING LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 387 AIGUILLE DRIVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81507
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Country | US
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Telephone | 651-756-7590
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Fax | 651-705-0408
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Provider Business Mailing Address
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Address Line | 6808 UPPER 28TH ST N
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City | OAKDALE
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State | MN
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Zip | 55128-3833
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Country | US
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Telephone | 651-336-6942
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Fax | 651-705-0408
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DAVID HALPER
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Credential | MA, LMFT
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Telephone | 651-336-6942
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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 |
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License Number State |
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