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General NPI Number Information
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NPI Number | 1184196966
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Entity Type | Individual
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Provider Name | JORDYN LEE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 4740 FLINTRIDGE DR STE 220N
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4273
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Country | US
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Telephone | 719-357-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 SAGE GROUSE LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80951-4738
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Country | US
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Telephone | 504-669-2561
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001594
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License Number State | CO
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