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General NPI Number Information
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NPI Number | 1609795913
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Entity Type | Individual
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Provider Name | ELLEN TUOHY
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Gender | Female
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 623 MAXWELL AVE
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City | BOULDER
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State | CO
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Zip | 80304-3940
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Country | US
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Telephone | 614-800-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 623 MAXWELL AVE
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City | BOULDER
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State | CO
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Zip | 80304-3940
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Country | US
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Telephone | 720-679-4050
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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 | LPC.0024142
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License Number State | CO
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