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General NPI Number Information
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NPI Number | 1023096872
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Entity Type | Individual
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Provider Name | STEVEN ANDREW WASHBURN PHD, LPCC
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3901 GEORGIA ST NE SUITE B 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1359
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Country | US
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Telephone | 505-837-1177
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Fax | 505-872-8045
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Provider Business Mailing Address
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Address Line | 3901 GEORGIA ST NE SUITE B 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1359
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Country | US
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Telephone | 505-837-1177
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Fax | 505-872-8045
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0404
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-1658
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License Number State | NM
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