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General NPI Number Information
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NPI Number | 1851779961
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Entity Type | Organization
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Legal Business Name | ALPENGLOW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 6600 BLACK RAIL RD
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City | CARLSBAD
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State | CA
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Zip | 92011-2603
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Country | US
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Telephone | 760-431-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 SUNNYHILL DR
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City | CARLSBAD
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State | CA
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Zip | 92008-2750
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Country | US
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Telephone | 307-690-7814
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE BURKHOLDER
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Credential | MS, LPCC, NCC, CAATS
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Telephone | 307-690-7814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1977
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License Number State | CA
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