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General NPI Number Information
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NPI Number | 1649070707
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Entity Type | Individual
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Provider Name | CAITLIN HONOR THEISEN LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 3401 QUEBEC ST STE 4400
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City | DENVER
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State | CO
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Zip | 80207-2310
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Country | US
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Telephone | 719-257-3932
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Fax |
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Provider Business Mailing Address
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Address Line | 12483 E TENNESSEE CIR APT F
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City | AURORA
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State | CO
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Zip | 80012-6014
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Country | US
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Telephone | 719-778-1918
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0021858
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License Number State | CO
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