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General NPI Number Information
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NPI Number | 1912577867
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Entity Type | Organization
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Legal Business Name | SANARE PSR PLLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1720 S BELLAIRE ST STE 909
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City | DENVER
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State | CO
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Zip | 80222-4333
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Country | US
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Telephone | 303-476-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 S BELLAIRE ST STE 909
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City | DENVER
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State | CO
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Zip | 80222-4333
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Country | US
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Telephone | 562-618-2319
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | BRIANA SEVERINE
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Credential | MS, LPC, LAC, CPRP
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Telephone | 562-618-2319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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