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General NPI Number Information
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NPI Number | 1881341493
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Entity Type | Individual
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Provider Name | AMANDA JOY SUNDEEN LPC, LAC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2021 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3840
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Country | US
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Telephone | 719-247-3152
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Fax |
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Provider Business Mailing Address
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Address Line | 5097 SAND HILL DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-8777
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Country | US
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Telephone | 913-339-8508
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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