MEDICARE: KIT GRIFFIN MA, LPC, NCC

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
1	101YM0800X	Mental Health Counselor	LPC0006216	CO

General Provider Information

NPI Number	:	1851982870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIT GRIFFIN MA, LPC, NCC

Provider Business Mailing Address
First Line	:	1700 S CORONA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3238
Country	:	US
Telephone Number	:	801-244-4257
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 S CORONA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3238
Country	:	US
Telephone Number	:	801-244-4257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	02/02/2021

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