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General NPI Number Information
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NPI Number | 1194431304
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Entity Type | Individual
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Provider Name | JOLIE KOLEEN BALDWIN PLMHC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1900 WESTRIDGE RD
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City | CARLSBAD
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State | NM
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Zip | 88220-3550
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Country | US
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Telephone | 575-725-5552
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Fax | 575-725-5552
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Provider Business Mailing Address
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Address Line | 1900 WESTRIDGE RD
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City | CARLSBAD
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State | NM
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Zip | 88220-3550
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Country | US
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Telephone | 575-725-5552
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Fax | 575-725-5552
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2025-0620
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CTB-2022-0848
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License Number State | NM
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