Basic Information
| Provider Information | |||||||||
| NPI: | 1144742321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KENSER | ||||||||
| FirstName: | THAIS | ||||||||
| MiddleName: | |||||||||
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| Credential: | MA, LPC, LAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4887 DULUTH CT | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802396437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032173005 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11059 E BETHANY DR | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800142622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036172300 | ||||||||
| FaxNumber: | 3036172365 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2017 | ||||||||
| LastUpdateDate: | 07/10/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | ACD0000836 | CO | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | LPC0013785 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.