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General NPI Number Information
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NPI Number | 1841883840
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Entity Type | Individual
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Provider Name | ANNA MARIE SAGE MS, LPC, LAC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 21229 BLUE SKY DR
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City | DELTA
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State | CO
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Zip | 81416-8538
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Country | US
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Telephone | 970-812-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 21229 BLUE SKY DR
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City | DELTA
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State | CO
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Zip | 81416-8538
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Country | US
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Telephone | 970-812-6377
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0001659
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0019064
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61493562
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License Number State | WA
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