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General NPI Number Information
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NPI Number | 1053041426
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Entity Type | Individual
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Provider Name | JESSIE HARDY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1205 BENTON ST UNIT 308
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City | LAKEWOOD
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State | CO
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Zip | 80214-2374
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Country | US
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Telephone | 207-214-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 9110 E FLORIDA AVE APT 20-208
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City | DENVER
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State | CO
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Zip | 80247-2964
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Country | US
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Telephone | 207-214-2352
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0022004
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License Number State | CO
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