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General NPI Number Information
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NPI Number | 1902773252
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Entity Type | Individual
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Provider Name | JENNA MARIE GATHRIGHT LPCC, MFTC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 12211 W ALAMEDA PKWY STE 106
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City | LAKEWOOD
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State | CO
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Zip | 80228-2867
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Country | US
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Telephone | 720-551-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 W LINCO RD
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City | STEVENSVILLE
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State | MI
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Zip | 49127-9469
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC.0023905
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTC.0014888
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License Number State | CO
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