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General NPI Number Information
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NPI Number | 1447638390
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Entity Type | Individual
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Provider Name | LEA AYER MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 1141 N 25TH ST STE G
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6560
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Country | US
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Telephone | 970-208-5143
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Fax |
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Provider Business Mailing Address
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Address Line | 587 PLACER ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-4857
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Country | US
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Telephone | 970-208-5143
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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 | 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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