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General NPI Number Information
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NPI Number | 1679129688
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Entity Type | Organization
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Legal Business Name | KELLY NORRIS COUNSELING & PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 445 UNION BLVD STE 221
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City | LAKEWOOD
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State | CO
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Zip | 80228-1241
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Country | US
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Telephone | 970-439-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 85 S UNION BLVD APT 332
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City | LAKEWOOD
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State | CO
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Zip | 80228-2278
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Country | US
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Telephone | 970-439-4709
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KELLY NORRIS
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Credential | MA, LPC
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Telephone | 970-439-4709
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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 |
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License Number State |
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