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General NPI Number Information
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NPI Number | 1932339751
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Entity Type | Individual
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Provider Name | BRENNA CAROLYN STURGEON MA, LPC, CACII
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4863 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3951
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Country | US
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Telephone | 719-632-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 N ACADEMY BLVD STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5152
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Country | US
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Telephone | 719-632-5700
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACB.0007504
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License Number State | CO
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Taxonomy #2
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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 #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0006223
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License Number State | CO
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