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General NPI Number Information
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NPI Number | 1376429563
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Entity Type | Organization
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Legal Business Name | KENOSIS COUNSELING, PLLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3035 W 25TH AVE
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City | DENVER
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State | CO
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Zip | 80211-4635
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Country | US
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Telephone | 303-785-8094
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 ARAPAHOE RD STE 132-1027
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City | LAFAYETTE
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State | CO
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Zip | 80026-8018
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Country | US
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Telephone | 303-785-9943
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MELISSA ROCHELLE RADDATZ
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Credential |
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Telephone | 303-883-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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