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NPI Code Detail

MEDICARE: MISS ALEXANDRA DOTY LMFT LAC

MEDICARE: MISS ALEXANDRA DOTY LMFT LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) CounselorACD.0001298CO
3106H00000XMarriage & Family TherapistMFT.0002315CO

General Provider Information

NPI Number : 1497157051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALEXANDRA DOTY LMFT LAC
Provider Business Mailing Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-544-2091
Fax Number :
Provider Business Practice Location Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-544-2091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 02/02/2023

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Directions to “ MISS ALEXANDRA DOTY LMFT LAC” Practice Location

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