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General NPI Number Information
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NPI Number | 1801266077
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Entity Type | Organization
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Legal Business Name | MOLLY JENKINS COUNSELING
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 3035 W 25TH AVE
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City | DENVER
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State | CO
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Zip | 80211-4635
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Country | US
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Telephone | 720-515-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 W 25TH AVE
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City | DENVER
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State | CO
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Zip | 80211-4635
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Country | US
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Telephone | 720-515-1706
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. MOLLY C JENKINS
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Credential | MA, MFTC, CH
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Telephone | 720-515-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0013410
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License Number State | CO
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