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General NPI Number Information
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NPI Number | 1356798078
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Entity Type | Individual
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Provider Name | LACIE KILLION MA, LMFT, LAC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 7175 W JEFFERSON AVE STE 1200
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City | LAKEWOOD
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State | CO
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Zip | 80235-2380
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Country | US
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Telephone | 720-757-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 2974 W CHENANGO AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-6308
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Country | US
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Telephone | 720-934-8092
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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.0001175
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001840
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License Number State | CO
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