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General NPI Number Information
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NPI Number | 1780473876
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Entity Type | Organization
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Legal Business Name | ABLOOM COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 12766 W 61ST PL
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City | ARVADA
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State | CO
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Zip | 80004-3924
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Country | US
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Telephone | 303-204-9246
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Fax |
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Provider Business Mailing Address
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Address Line | 1 KALISA WAY STE 101
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City | PARAMUS
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State | NJ
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Zip | 07652-3508
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Country | US
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Telephone | 888-948-6789
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Fax | 877-345-3501
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Authorized Official
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Title or Position | SOLE OWNER
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Name | JILL A DAISS-LUCAS
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Credential | LCSW
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Telephone | 303-204-9246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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