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General NPI Number Information
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NPI Number | 1689432080
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Entity Type | Individual
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Provider Name | KATHERINE LEE EBERT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 700 FRONT ST STE 108
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City | LOUISVILLE
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State | CO
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Zip | 80027-1805
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Country | US
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Telephone | 720-600-7318
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Fax |
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Provider Business Mailing Address
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Address Line | 10436 OWENS ST
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City | WESTMINSTER
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State | CO
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Zip | 80021-7810
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Country | US
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Telephone | 720-600-7318
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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.0019774
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0020971
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License Number State | CO
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