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General NPI Number Information
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NPI Number | 1174980353
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Entity Type | Organization
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Legal Business Name | JUNIPER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 2601 WYOMING BLVD NE STE 212
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1033
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Country | US
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Telephone | 505-619-3258
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 WYOMING BLVD NE STE 212
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1033
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Country | US
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Telephone | 505-619-3258
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Fax |
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Authorized Official
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Title or Position | LCSW/MANAGER
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Name | JESSICA RAAB SCHNEIDER
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Credential | LCSW
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Telephone | 505-619-3258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-07643
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License Number State | NM
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