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NPI 1457997173

NPI 1457997173 : JULIA ANNE OLSON LPC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1457997173
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA ANNE OLSON LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/18/2019
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    Last Update Date     |    11/18/2019
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Provider Practice Location Address
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    Address Line         |    950 N LOGAN ST 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80203-3163
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    Country              |    US
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    Telephone            |    303-304-4212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2805 N RACE ST 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80205-4555
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    Country              |    US
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    Telephone            |    303-304-4212
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LPC.0015849
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    License Number State |    CO
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