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General NPI Number Information
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NPI Number | 1649092081
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Entity Type | Organization
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Legal Business Name | KUSIAK COUNSELING LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3377 S NEWCOMBE ST
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City | LAKEWOOD
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State | CO
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Zip | 80227-5617
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Country | US
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Telephone | 970-471-2783
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Fax |
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Provider Business Mailing Address
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Address Line | 3377 S NEWCOMBE ST
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City | LAKEWOOD
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State | CO
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Zip | 80227-5617
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Country | US
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Telephone | 970-471-2783
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MEGHAN KUSIAK
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Credential | MA, LPC, NCC
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Telephone | 970-471-2783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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