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NPI 1568988962

NPI 1568988962 : ADRIENNE KLOKINIS LPC : LONE TREE, CO

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General NPI Number Information
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    NPI Number           |    1568988962
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIENNE KLOKINIS LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2017
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    Last Update Date     |    06/16/2018
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Provider Practice Location Address
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    Address Line         |    9233 PARK MEADOWS DR 
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    City                 |    LONE TREE
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    State                |    CO
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    Zip                  |    80124-5426
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    Country              |    US
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    Telephone            |    303-550-6991
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    569 SETH PL 
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    City                 |    CASTLE PINES
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    State                |    CO
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    Zip                  |    80108-3416
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    Country              |    US
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    Telephone            |    303-550-6991
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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       |    LPC.0013829
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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.0013829
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC.0013829
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    License Number State |    CO
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