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General NPI Number Information
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NPI Number | 1780407452
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Entity Type | Organization
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Legal Business Name | UNRAVELING FREE THERAPY & COACHING
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1221 S CLARKSON ST STE 222
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City | DENVER
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State | CO
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Zip | 80210-1627
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Country | US
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Telephone | 720-441-4659
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 1004
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CASEY BAIN
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Credential | LPC, MS
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Telephone | 972-268-4696
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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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