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NPI 1487101689

NPI 1487101689 : ANJELA KATHRYN SUZZANE MEYER MA, LPC, LAC, EMDR : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1487101689
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    Entity Type          |    Individual 
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    Provider Name        |    ANJELA KATHRYN SUZZANE MEYER MA, LPC, LAC, EMDR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2016
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    510 DUDLEY ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80226-1158
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    Country              |    US
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    Telephone            |    303-335-9346
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    510 DUDLEY ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80226-1158
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    Country              |    US
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    Telephone            |    303-335-9346
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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.0001029
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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       |    LPC.0015746
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    License Number State |    CO
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