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General NPI Number Information
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NPI Number | 1982560793
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Entity Type | Organization
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Legal Business Name | SAGEBRUSH COUNSELING LLC
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Dates
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Enumeration Date | 12/25/2025
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 905 HARDING AVE
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City | CANON CITY
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State | CO
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Zip | 81212-2147
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Country | US
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Telephone | 785-865-6555
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Fax | 844-265-8622
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Provider Business Mailing Address
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Address Line | 1330 S BRYANT ST
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City | DENVER
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State | CO
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Zip | 80219-4220
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Country | US
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Telephone | 785-865-6555
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Fax | 844-265-8622
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DAMOND DOTSON
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Credential |
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Telephone | 970-576-1717
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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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