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NPI 1649403957

NPI 1649403957 : CHRISTOPHER SAMUEL RADIGAN M.S.W, LCSW, LAC : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1649403957
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER SAMUEL RADIGAN M.S.W, LCSW, LAC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/02/2009
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    61 W DAVIES AVE N 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80120-5252
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    Country              |    US
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    Telephone            |    303-730-8858
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    116 INVERNESS DR E STE 105 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-5125
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    Country              |    US
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    Telephone            |    303-730-8858
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    ACD0000300
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CSW.00002022
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    License Number State |    CO
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