Lassiter, Kyle J.

Lassiter, Kyle J. is an individual health care provider with primary practice located at 3225 Independence Rd , Canon City CO 81212-9380. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lassiter, Kyle J. can be contacted via phone (719) 275-2351.

Contact Information

Primary practice address
3225 Independence Rd Canon City CO 81212-9380
Fax: (719) 269-9386
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-1449 Colorado

Profile Details

NPI number 1275743197
LBN Legal business name Lassiter, Kyle J.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Dec 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275743197 NPPES
Colorado MEDICAID 84288035

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