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General NPI Number Information
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NPI Number | 1942770318
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Entity Type | Organization
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Legal Business Name | RELATE FAMILY THERAPY AND COUNSELING, LLC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 327 INVERNESS DR S STE 201
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City | CENTENNIAL
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State | CO
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Zip | 80112-6012
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Country | US
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Telephone | 303-954-9809
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Fax |
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Provider Business Mailing Address
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Address Line | 327 INVERNESS DR S STE 201
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City | CENTENNIAL
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State | CO
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Zip | 80112-6012
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Country | US
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Telephone | 303-954-9809
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/THERAPIST
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Name | JASMYNE A KETTWICK
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Credential | LMFT, RPT, CSST
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Telephone | 303-954-9809
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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 |
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License Number State |
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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 |
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License Number State |
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