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General NPI Number Information
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NPI Number | 1588797336
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Entity Type | Individual
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Provider Name | LELA HARRISON LCSW, LAC, MAC
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 8461 TURNPIKE DR STE 207
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City | WESTMINSTER
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State | CO
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Zip | 80031-4379
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Country | US
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Telephone | 303-578-8320
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Fax | 303-590-9627
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Provider Business Mailing Address
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Address Line | 5023 W 120TH AVE SUITE 304
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City | BROOMFIELD
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State | CO
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Zip | 80020-5606
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Country | US
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Telephone | 303-578-8320
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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 | 000854
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24882
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09923235
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License Number State | CO
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