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General NPI Number Information
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NPI Number | 1932658507
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Entity Type | Individual
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Provider Name | LESLIE SPRING KITTEL MA, MM, LPCC, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 1003 MAIN ST, STE 303
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3540
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Country | US
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Telephone | 970-623-0455
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 MAIN ST, STE 303
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3540
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Country | US
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Telephone | 970-623-0455
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-PENDING
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License Number State | CO
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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 | LPCC.0015664
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License Number State | CO
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