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General NPI Number Information
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NPI Number | 1992687164
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Entity Type | Organization
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Legal Business Name | THE PRACTICE
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 125 N 8TH ST UNIT 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3533
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Country | US
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Telephone | 806-681-1015
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Fax |
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Provider Business Mailing Address
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Address Line | 125 N 8TH ST UNIT 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3533
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Country | US
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Telephone | 806-681-1015
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | AMBER COOPER
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Credential | LPC
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Telephone | 806-681-1015
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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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