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General NPI Number Information
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NPI Number | 1861856882
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Entity Type | Organization
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Legal Business Name | FOUR FEATHERS COUNSELING CORPORATION
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 321 W HENRIETTA AVE SUITE B
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City | WOODLAND PARK
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State | CO
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Zip | 80863-3145
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Country | US
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Telephone | 719-761-1655
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Fax | 855-332-4436
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Provider Business Mailing Address
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Address Line | 1225 WOODLAND VALLEY RANCH DR
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City | WOODLAND PARK
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State | CO
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Zip | 80863-7409
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Country | US
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Telephone | 719-761-1655
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Fax | 855-332-4436
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Authorized Official
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Title or Position | OWNER
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Name | TERESITA MARIE TIRONA
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Credential | M.A, LPC
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Telephone | 719-761-1655
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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 | 4470
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License Number State | CO
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