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General NPI Number Information
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NPI Number | 1659578599
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Entity Type | Organization
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Legal Business Name | CLEAN AND CLEAR MINDED CCM COUNSELING LLC PC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9035 WADSWORTH PKWY SUITE #2750
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City | WESTMINSTER
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State | CO
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Zip | 80021-8634
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Country | US
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Telephone | 303-638-8131
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Fax | 720-222-8786
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Provider Business Mailing Address
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Address Line | 1827 QUAIL ST APT 9
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City | LAKEWOOD
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State | CO
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Zip | 80215-2735
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Country | US
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Telephone | 303-638-8131
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Fax | 720-222-8786
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Authorized Official
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Title or Position | OWNER-THERAPIST
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Name | MRS. CRYSTAL CAMPBELL MESSER
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Credential | LCSW CAC III
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Telephone | 303-638-8131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 989983
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5437
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License Number State | CO
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