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General NPI Number Information
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NPI Number | 1124530969
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Entity Type | Organization
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Legal Business Name | 1A COUNSELING LLC
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4001 OFFICE COURT DR STE 404
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City | SANTA FE
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State | NM
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Zip | 87507-4914
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Country | US
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Telephone | 505-435-8271
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Fax |
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Provider Business Mailing Address
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Address Line | 451 CALLE VOLVER
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City | SANTA FE
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State | NM
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Zip | 87505-4244
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Country | US
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Telephone | 915-549-5257
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Fax |
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Authorized Official
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Title or Position | OWNER, SINGLE MEMBER
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Name | NICOLE RENEE BORSBERRY
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Credential | LPCC
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Telephone | 915-549-5257
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0174291
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License Number State | NM
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