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General NPI Number Information
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NPI Number | 1013085026
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Entity Type | Individual
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Provider Name | JAMIE MICHELLE ANDERSEN LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1067 E US HIGHWAY 24 UNIT 231
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City | WOODLAND PARK
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State | CO
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Zip | 80863-2120
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Country | US
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Telephone | 719-360-0802
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Fax | 719-687-4801
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Provider Business Mailing Address
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Address Line | 1067 E US HIGHWAY 24 UNIT 231
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City | WOODLAND PARK
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State | CO
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Zip | 80863-2120
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Country | US
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Telephone | 719-360-0802
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Fax | 719-687-4801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 555
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License Number State | CO
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