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General NPI Number Information
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NPI Number | 1144564659
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Entity Type | Individual
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Provider Name | JERIMEE SMITH M.A., LPC, LAC
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Gender | Male
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 5420 S QUEBEC ST STE 102
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1902
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Country | US
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Telephone | 303-706-9722
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 E MISSISSIPPI AVE APT 56
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City | DENVER
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State | CO
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Zip | 80247-2213
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Country | US
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Telephone | 720-441-1964
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0000529
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5136-R
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0012288
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License Number State | CO
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