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General NPI Number Information
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NPI Number | 1215863196
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Entity Type | Organization
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Legal Business Name | CANYON CALM COUNSELING LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 1400 BARBARA LP SE SUITE G
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City | RIO RANCHO
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State | NM
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Zip | 87124-1088
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Country | US
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Telephone | 505-977-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 WILKES WAY SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-0991
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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 | OWNER
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Name | SHAWN O'CONNELL
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Credential | LPCC
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Telephone | 505-263-6291
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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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