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General NPI Number Information
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NPI Number | 1487342069
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Entity Type | Individual
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Provider Name | AVERY GLENNON SPRATT LPC,MFTC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 825 E SPEER BLVD STE 306
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City | DENVER
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State | CO
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Zip | 80218-3719
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Country | US
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Telephone | 303-351-2661
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W ELLSWORTH AVE
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City | DENVER
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State | CO
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Zip | 80223-1622
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Country | US
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Telephone | 720-588-3213
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTC.0014445
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0022332
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License Number State | CO
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