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General NPI Number Information
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NPI Number | 1861946345
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Entity Type | Organization
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Legal Business Name | RED COMPASS COUNSELING PLLC
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Dates
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Enumeration Date | 08/12/2016
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 2687 NORTHPARK DR STE 103
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City | LAFAYETTE
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State | CO
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Zip | 80026-3176
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Country | US
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Telephone | 720-340-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 HAYSTACK WAY
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City | LAFAYETTE
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State | CO
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Zip | 80026-9440
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Country | US
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Telephone | 303-886-3917
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. JAIMEF RAFAEL DAVILA
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Credential | LPC
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Telephone | 720-340-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LPC0012193
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License Number State | CO
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