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General NPI Number Information
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NPI Number | 1831961770
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Entity Type | Organization
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Legal Business Name | ALLISON JORGENSEN COUNSELING DBA THE3RD WAY, LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 817 COLORADO AVE STE 200
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3349
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Country | US
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Telephone | 970-948-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 525 HONEY SUCKLE DR
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City | NEW CASTLE
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State | CO
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Zip | 81647-9443
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Country | US
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Telephone | 970-948-4834
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ALLISON BAILEY JORGENSEN
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Credential | LCSW
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Telephone | 970-948-4834
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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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