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NPI Code Detail

MEDICARE: D. KIM SYTTEN LPC

MEDICARE: D. KIM SYTTEN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC-3639CO
2101YM0800XMental Health CounselorLMFT-665CO

General Provider Information

NPI Number : 1366560245
Entity Type Code : Individual
Provider Name (Legal Business Name) : D. KIM SYTTEN LPC
Provider Business Mailing Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-989-4357
Fax Number : 303-988-2017
Provider Business Practice Location Address
First Line : 421 ZANG ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1052
Country : US
Telephone Number : 303-989-4357
Fax Number : 303-988-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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