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General NPI Number Information
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NPI Number | 1992653422
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN GROUP THERAPY P.L.L.C.
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 3307 S COLLEGE AVE UNIT 225
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City | FORT COLLINS
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State | CO
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Zip | 80525-4196
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Country | US
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Telephone | 785-215-0623
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Fax |
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Provider Business Mailing Address
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Address Line | 3565 WINDMILL DR APT Q3
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City | FORT COLLINS
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State | CO
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Zip | 80526-5915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CALEB AKERSTROM
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Credential |
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Telephone | 785-215-0623
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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 |
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License Number State |
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