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NPI 1679706287

NPI 1679706287 : CATHERINE HOUSTON LPC : BOULDER, CO

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General NPI Number Information
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    NPI Number           |    1679706287
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE HOUSTON LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2009
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    Last Update Date     |    06/20/2014
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Provider Practice Location Address
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    Address Line         |    5378 STERLING DR STUDIO 6
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80301-2351
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    Country              |    US
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    Telephone            |    720-628-0158
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1238 6TH AVE 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-4453
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    Country              |    US
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    Telephone            |    720-628-0158
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    5193
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    License Number State |    CO
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