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NPI Code Detail

MEDICARE: KRISTEN RANEE SMITH B.A.

MEDICARE: KRISTEN RANEE SMITH B.A.
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 Counselor

General Provider Information

NPI Number : 1528198165
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN RANEE SMITH B.A.
Provider Business Mailing Address
First Line : 1642 BISCAY CIR
Second Line :
City : AURORA
State : CO
Zip : 80011-5221
Country : US
Telephone Number : 720-859-0622
Fax Number :
Provider Business Practice Location Address
First Line : 1450 S ASH ST
Second Line :
City : DENVER
State : CO
Zip : 80222-3629
Country : US
Telephone Number : 303-759-2673
Fax Number : 303-759-1830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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