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General NPI Number Information
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NPI Number | 1689495665
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Entity Type | Organization
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Legal Business Name | ALYSSA KLEIN LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 2949 FEDERAL BLVD
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City | DENVER
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State | CO
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Zip | 80211-3741
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Country | US
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Telephone | 269-924-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 12633 JAMES CT
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City | BROOMFIELD
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State | CO
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Zip | 80020-5832
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Country | US
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Telephone | 269-924-6550
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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 | ALYSSA KLEIN
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Credential | LPC
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Telephone | 269-924-6550
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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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