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General NPI Number Information
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NPI Number | 1730904608
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Entity Type | Individual
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Provider Name | ASHLEY EIKENBERRY MS, LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3150 N 12TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-2863
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Country | US
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Telephone | 970-242-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 ROOD AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3438
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Country | US
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Telephone | 217-381-4668
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0022627
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License Number State | CO
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