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General NPI Number Information
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NPI Number | 1740926187
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Entity Type | Organization
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Legal Business Name | SPECIALTY COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 2550 STOVER ST BLDG C
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City | FORT COLLINS
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State | CO
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Zip | 80525-4641
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Country | US
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Telephone | 970-942-3031
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Fax |
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Provider Business Mailing Address
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Address Line | 6820 COLONY HILLS LN
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City | FORT COLLINS
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State | CO
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Zip | 80525-6987
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Country | US
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Telephone | 208-571-1614
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Fax |
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Authorized Official
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Title or Position | PROVISIONAL THERAPIST
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Name | BRANDON TURNER
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Credential |
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Telephone | 208-571-1614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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 |
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License Number State |
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