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General NPI Number Information
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NPI Number | 1942942875
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Entity Type | Individual
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Provider Name | JAELYN DIANE HEDGES LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 9458 W 89TH CIR
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City | WESTMINSTER
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State | CO
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Zip | 80021-4412
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Country | US
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Telephone | 303-883-2289
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Fax |
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Provider Business Mailing Address
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Address Line | 9458 W 89TH CIR
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City | WESTMINSTER
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State | CO
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Zip | 80021-4412
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Country | US
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Telephone | 303-883-2289
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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 | 106004
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09932636
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127532
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License Number State | CA
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