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General NPI Number Information
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NPI Number | 1750841656
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Entity Type | Organization
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Legal Business Name | TRAILHEAD CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 817 COLORADO AVE # 200
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3349
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Country | US
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Telephone | 970-510-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 817 COLORADO AVE # 200
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3349
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Country | US
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Telephone | 970-510-5851
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MR. DANIEL JAMES KAIL
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Credential | MA, LPC, LCPC
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Telephone | 970-510-5851
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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 |
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License Number State |
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