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General NPI Number Information
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NPI Number | 1609783083
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Entity Type | Organization
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Legal Business Name | ARK VALLEY COUNSELING & SUPERVISION SERVICES, LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 138 6TH ST STE 207C
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City | LAS ANIMAS
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State | CO
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Zip | 81054-1267
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Country | US
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Telephone | 719-469-2670
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Fax | 719-928-4181
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Provider Business Mailing Address
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Address Line | 24600 COUNTY ROAD 21
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City | LA JUNTA
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State | CO
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Zip | 81050-9765
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Country | US
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Telephone | 719-469-2670
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Fax | 719-928-4181
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Authorized Official
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Title or Position | OWNER
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Name | RAYLAND L SMITH
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Credential | LPC
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Telephone | 719-469-2670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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