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General NPI Number Information
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NPI Number | 1861180614
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Entity Type | Organization
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Legal Business Name | CHILD AND ADOLESCENT COUNSELING OF DENVER PLLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 6087 S QUEBEC ST STE 102
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City | CENTENNIAL
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State | CO
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Zip | 80111-4539
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Country | US
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Telephone | 303-835-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 6087 S QUEBEC ST STE 102
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City | CENTENNIAL
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State | CO
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Zip | 80111-4539
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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 | OWNER
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Name | MARY ELLEN HUDSON
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Credential |
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Telephone | 699-230-3835
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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 |
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License Number State |
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