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General NPI Number Information
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NPI Number | 1093153520
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Entity Type | Individual
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Provider Name | JENNALEE WOLF HRABAL LPC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 8407 BRYANT ST
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City | WESTMINSTER
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State | CO
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Zip | 80031-3809
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Country | US
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Telephone | 303-487-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 2744 BRUCHEZ PKWY UNIT 104
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City | WESTMINSTER
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State | CO
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Zip | 80234-1901
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Country | US
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Telephone | 713-277-4217
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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 | 66445
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15350
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License Number State | CO
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