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NPI Code Detail

MEDICARE: KENNA BARRON LPC

MEDICARE: KENNA BARRON 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
1101YP2500XProfessional Counselor1648CO

General Provider Information

NPI Number : 1679942932
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNA BARRON LPC
Provider Business Mailing Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 303-713-1821
Fax Number :
Provider Business Practice Location Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 303-713-1821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “ KENNA BARRON LPC” Practice Location

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