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Organization
KENOSIS COUNSELING, PLLC
Active
Organization
KENOSIS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA RADDATZ (OWNER)
(303) 717-8094
Entity
Organization
Contact information
Practice address
2270 ARAPAHOE RD, STE 132-1027, LAFAYETTE, CO 80026
(303) 717-8094
Mailing address
2770 ARAPAHOE RD STE 132-1027, LAFAYETTE, CO 80026-8018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386098010
NPI TYPE 1
CO
Enumeration date
05/24/2021
Last updated
03/31/2025
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