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NPI Code Detail

MEDICARE: DONALD POOLE LMHC

MEDICARE: DONALD POOLE LMHC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCTB-2022-0241NM
2101Y00000XCounselorCTB20250181NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CTB20220241OTHERNMCOUNSELING AND THERAPY PRACTICE BOARD

General Provider Information

NPI Number : 1962136176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD POOLE LMHC
Provider Business Mailing Address
First Line : 653 W ARRINGTON ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-8513
Country : US
Telephone Number : 505-217-1717
Fax Number :
Provider Business Practice Location Address
First Line : 9201 MONTGOMERY BLVD NE STE V
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2470
Country : US
Telephone Number : 505-217-1717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 02/09/2026

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