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General NPI Number Information
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NPI Number | 1811617822
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Entity Type | Organization
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Legal Business Name | GOODENBERGER COUNSELING SOLUTIONS LLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2586 GARGANEY DR
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City | CASTLE ROCK
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State | CO
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Zip | 80104-7940
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Country | US
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Telephone | 720-507-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 834F S PERRY ST # 1275
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1936
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Country | US
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Telephone | 720-507-8287
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN GOODENBERGER
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Credential | LMFT
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Telephone | 720-507-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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