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General NPI Number Information
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NPI Number | 1700721685
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Entity Type | Organization
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Legal Business Name | SAFE SPACE CHILD AND FAMILY THERAPY LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 10679 MCGAHAN DR
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City | FOUNTAIN
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State | CO
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Zip | 80817-6312
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Country | US
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Telephone | 719-252-0709
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Fax |
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Provider Business Mailing Address
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Address Line | 10679 MCGAHAN DR
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City | FOUNTAIN
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State | CO
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Zip | 80817-6312
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Country | US
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Telephone | 719-252-0709
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRISTINA CAMPOS-KRUMHOLZ
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Credential | LPC
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Telephone | 719-252-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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