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General NPI Number Information
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NPI Number | 1912709361
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Entity Type | Organization
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Legal Business Name | BACK ON TRACK COUNSELING PLLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2855 N SPEER BLVD STE D
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City | DENVER
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State | CO
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Zip | 80211-4240
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Country | US
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Telephone | 720-674-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 N SPEER BLVD STE D
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City | DENVER
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State | CO
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Zip | 80211-4240
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Country | US
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Telephone | 720-674-7652
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. SELENA SANCHEZ
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Credential | PHD, LAC, ICAADC
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Telephone | 720-309-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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