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General NPI Number Information
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NPI Number | 1942104690
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Entity Type | Individual
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Provider Name | BONNIE DISMORE M.S.ED, LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 19029 PLAZA DR STE 300
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City | PARKER
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State | CO
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Zip | 80134-4009
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Country | US
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Telephone | 720-726-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 19029 PLAZA DR STE 300
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City | PARKER
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State | CO
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Zip | 80134-4009
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Country | US
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Telephone | 720-726-0059
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC.0025406
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License Number State | CO
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