Organization
SOUTH DENVER PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KENNEL MA, LPC (SOLE PROPRIETOR)
(303) 730-1144
Entity
Organization
Contact information
Practice address
2305 E ARAPAHOE RD, SUITE 242, CENTENNIAL, CO 80122-1522
(303) 730-1144
(303) 795-9561
Mailing address
4 MEADOWBROOK CIR, LITTLETON, CO 80120-4151
(303) 795-9560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5737
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861624033
NATIONAL PROVIDER ID
CO
Enumeration date
11/16/2012
Last updated
11/16/2012
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