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General NPI Number Information
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NPI Number | 1235627035
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Entity Type | Organization
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Legal Business Name | OAK TREE BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 274 UNION BLVD STE 430
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City | LAKEWOOD
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State | CO
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Zip | 80228-2007
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Country | US
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Telephone | 303-250-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 274 UNION BLVD STE 430
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City | LAKEWOOD
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State | CO
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Zip | 80228-2007
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Country | US
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Telephone | 303-250-1327
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KEVIN JASON SCHLEGEL
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Credential | PSY.D.
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Telephone | 303-250-1327
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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 | 0011612
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License Number State | CO
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