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NPI 1609949056

NPI 1609949056 : CHRISTOPHER L WILGERS LPC : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1609949056
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER L WILGERS LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2006
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    Last Update Date     |    05/28/2019
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Provider Practice Location Address
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    Address Line         |    2629 REDWING RD STE 316
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526
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    Country              |    US
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    Telephone            |    970-229-9959
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    Fax                  |    970-223-1325
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Provider Business Mailing Address
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    Address Line         |    2629 REDWING RD STE 316
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526
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    Country              |    US
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    Telephone            |    970-229-9959
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    Fax                  |    970-223-1325
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    939
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    License Number State |    CO
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