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General NPI Number Information
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NPI Number | 1811523608
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Entity Type | Organization
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Legal Business Name | ALPINE LAKES COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 14201 E 4TH AVE STE 3-265
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City | AURORA
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State | CO
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Zip | 80011-8748
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Country | US
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Telephone | 303-219-9548
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 CEYLON ST
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City | AURORA
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State | CO
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Zip | 80011-5237
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Country | US
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Telephone | 720-299-1221
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHELSIE DANETTE HOPPERSTAD
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Credential | LCSW
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Telephone | 303-219-9548
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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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