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General NPI Number Information
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NPI Number | 1063703031
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Entity Type | Individual
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Provider Name | CYNTHIA DIANE VALENZUELA M.A., LPCC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | MSC06 3670 1 UNIVERSITY
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City | ALBUQUERQUE
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State | NM
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Zip | 87191-6330
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Country | US
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Telephone | 505-246-8700
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Fax | 505-277-3136
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Provider Business Mailing Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE R
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7845
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Country | US
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Telephone | 505-289-0129
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Fax |
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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 | CCMH0129261
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License Number State | NM
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