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General NPI Number Information
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NPI Number | 1225910888
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Entity Type | Organization
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Legal Business Name | YOUNG PEOPLE IN RECOVERY
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1415 PARK AVE W
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City | DENVER
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State | CO
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Zip | 80205-2103
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Country | US
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Telephone | 720-600-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 PARK AVE W
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City | DENVER
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State | CO
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Zip | 80205-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF BUSINESS OPERATIONS
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Name | JENNA KEDRIE
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Credential | CHCO
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Telephone | 720-498-6215
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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 |
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License Number State |
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