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General NPI Number Information
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NPI Number | 1366826794
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Entity Type | Individual
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Provider Name | STACEY BRAMLEY CARLETON MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 899 N LOGAN ST STE 300
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City | DENVER
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State | CO
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Zip | 80203-3155
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Country | US
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Telephone | 720-441-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 2562 ASH ST
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City | DENVER
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State | CO
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Zip | 80207-3118
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Country | US
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Telephone | 303-619-0985
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0013917
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License Number State | CO
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Taxonomy #2
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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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