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General NPI Number Information
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NPI Number | 1902318827
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Entity Type | Organization
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Legal Business Name | ALPINE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 363 EAST ELKHORN AVE SUITE 301
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City | ESTES PARK
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State | CO
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Zip | 80517-8905
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Country | US
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Telephone | 970-286-4886
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2973
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City | ESTES PARK
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State | CO
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Zip | 80517-2973
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Country | US
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Telephone | 970-286-4886
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Fax | 866-291-0519
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN RUTH ANDERSON
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Credential | MSW
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Telephone | 70-286-4886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW-00001959
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License Number State | CO
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