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General NPI Number Information
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NPI Number | 1811510159
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Entity Type | Individual
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Provider Name | MICHELL LYNETTE TEMPLE LPC, LPC/MHSP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 6399 S SANTA FE DR
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City | LITTLETON
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State | CO
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Zip | 80120-2912
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Country | US
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Telephone | 720-275-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 CHAMBERS RD
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City | AURORA
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State | CO
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Zip | 80011-7117
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Country | US
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Telephone | 303-617-2300
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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 | 4264
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005473
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 005473
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4264
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0017608
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License Number State | CO
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