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General NPI Number Information
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NPI Number | 1841066396
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Entity Type | Organization
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Legal Business Name | CAROLINE YATES DEFFENBAUGH COUNSELING LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 110 16TH ST STE 1460
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City | DENVER
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State | CO
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Zip | 80202-5202
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Country | US
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Telephone | 720-239-2239
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 DETROIT ST
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City | DENVER
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State | CO
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Zip | 80206-3325
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Country | US
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Telephone | 720-239-2239
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | CAROLINE ELIZABETH YATES DEFFENBAUGH
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Credential | LCSW
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Telephone | 720-239-2239
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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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