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General NPI Number Information
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NPI Number | 1699108308
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Entity Type | Individual
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Provider Name | ELISE ANN SALAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 950 E HARVARD AVE STE 670
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City | DENVER
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State | CO
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Zip | 80210-7011
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Country | US
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Telephone | 970-310-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 ALPINE BLVD
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City | ALPINE
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State | CA
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Zip | 91901-2113
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Country | US
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Telephone | 619-659-3185
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Fax | 619-722-6327
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 62476
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License Number State | CA
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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 | 76464
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62476
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09925402
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License Number State | CO
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