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General NPI Number Information
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NPI Number | 1801806336
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Entity Type | Organization
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Legal Business Name | K U WRAY MA LPC PLLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 545 COLLYER ST
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City | LONGMONT
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State | CO
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Zip | 80501-5598
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Country | US
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Telephone | 720-878-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HICKORY DR
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City | LYONS
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State | CO
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Zip | 80540-8007
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Country | US
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Telephone | 720-878-3403
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN UHLE WRAY
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Credential | LPC
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Telephone | 720-878-3403
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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 | 590
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License Number State | CO
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