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NPI 1104765700

NPI 1104765700 : WHOLE SELF COUNSELING : ALBUQUERQUE, NM

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General NPI Number Information
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    NPI Number           |    1104765700
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLE SELF COUNSELING 
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Dates
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    Enumeration Date     |    03/27/2026
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    Last Update Date     |    03/27/2026
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Provider Practice Location Address
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    Address Line         |    7520 MONTGOMERY BLVD NE BLDG E15 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87109-1586
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    Country              |    US
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    Telephone            |    505-226-6380
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7501 MONTGOMERY BLVD NE APT 8101 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87109-1582
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     LUIS  ALVARADO 
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    Credential           |    LMSW
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    Telephone            |    505-226-2375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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