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General NPI Number Information
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NPI Number | 1992998041
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICE ASSOCIATES
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 1037 ROBERTSON ST
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City | FT COLLINS
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State | CO
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Zip | 80524-3926
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Country | US
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Telephone | 970-493-3833
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Fax | 970-493-4333
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Provider Business Mailing Address
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Address Line | 1037 ROBERTSON ST
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City | FT COLLINS
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State | CO
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Zip | 80524-3926
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Country | US
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Telephone | 970-493-3833
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Fax | 970-493-4333
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL KEHL
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Credential | LCSW ALSW MSW
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Telephone | 970-493-3833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 19981128644
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License Number State | CO
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