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General NPI Number Information
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NPI Number | 1821586363
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Entity Type | Organization
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Legal Business Name | SUSANNAH M HORWITZ, LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 710 10TH ST STE 160
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City | GOLDEN
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State | CO
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Zip | 80401-5835
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Country | US
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Telephone | 720-600-4943
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Fax |
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Provider Business Mailing Address
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Address Line | 710 10TH ST STE 160
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City | GOLDEN
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State | CO
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Zip | 80401-5835
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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 | MEMBER/OWNER
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Name | MS. SUSANNAH M HORWITZ
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Credential | MA, LPC, LMHC
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Telephone | 720-600-4943
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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 | 0012140
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License Number State | CO
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