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General NPI Number Information
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NPI Number | 1861936247
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Entity Type | Organization
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Legal Business Name | ZOETIC COUNSELING, LLC
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 2855 N SPEER BLVD
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 928-853-8781
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Fax | 303-455-2486
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Provider Business Mailing Address
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Address Line | 2855 N SPEER BLVD
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 928-853-8781
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Fax | 303-455-2486
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Authorized Official
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Title or Position | COUNSELOR
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Name | REBEKAH NATENBERG
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Credential | LPC
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Telephone | 928-853-8781
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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 | 13374
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License Number State | CO
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