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General NPI Number Information
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NPI Number | 1568073328
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Entity Type | Organization
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Legal Business Name | CROSWAITE COUNSELING, PLLC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 26 W DRY CREEK CIR STE 600
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City | LITTLETON
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State | CO
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Zip | 80120-8066
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Country | US
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Telephone | 720-507-4437
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 E ACADEMY BLVD UNIT 305
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City | DENVER
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State | CO
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Zip | 80230-7169
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, CROSWAITE COUNSELING, PLLC
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Name | KHARA KAY CROSWAITE BRINDLE
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Credential | MA, LPC, ACS
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Telephone | 720-245-7390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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