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General NPI Number Information
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NPI Number | 1013674985
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Entity Type | Organization
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Legal Business Name | LITTLE ASPEN COUNSELING, LLC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 3300 N. BUTLER AVE. SUITE 202
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City | FARMINGTON
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State | NM
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Zip | 87401
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Country | US
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Telephone | 505-497-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N BUTLER AVE STE 202
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City | FARMINGTON
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State | NM
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Zip | 87401-2362
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Country | US
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Telephone | 505-497-0946
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | SHAULA BEGAY
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Credential | LPCC
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Telephone | 505-497-0946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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