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General NPI Number Information
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NPI Number | 1962855791
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Entity Type | Organization
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Legal Business Name | LIFE SKILLS PLUS INC.
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Dates
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Enumeration Date | 07/16/2016
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Last Update Date | 07/16/2016
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Provider Practice Location Address
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Address Line | 10 BOULDER CRESCENT ST SUITE 203G
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3344
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Country | US
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Telephone | 719-471-1225
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Fax | 719-471-8300
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Provider Business Mailing Address
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Address Line | 10 BOULDER CRESCENT ST SUITE 203G
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3344
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Country | US
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Telephone | 719-471-1225
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Fax | 719-471-8300
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EARL HENRY FRIESEN
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Credential | M.A.
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Telephone | 719-471-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 96
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License Number State | CO
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