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General NPI Number Information
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NPI Number | 1770004665
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Entity Type | Organization
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Legal Business Name | MATT TROWBRIDGE COUNSELING
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 950 WADSWORTH BLVD STE 314
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City | LAKEWOOD
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State | CO
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Zip | 80214-4542
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Country | US
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Telephone | 303-495-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 950 WADSWORTH BLVD STE 314
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City | LAKEWOOD
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State | CO
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Zip | 80214-4542
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Country | US
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Telephone | 303-495-6806
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | MR. MATTHEW J TROWBRIDGE
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Credential | MA, LPC
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Telephone | 303-667-1929
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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 | LPC.12220
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License Number State | CO
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