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General NPI Number Information
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NPI Number | 1235411109
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Entity Type | Organization
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Legal Business Name | AWARENESS COUNSELING P.C.
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 414 N SCHWARTZ AVE
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City | FARMINGTON
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State | NM
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Zip | 87401-5551
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Country | US
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Telephone | 505-325-5475
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4042
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City | DURANGO
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State | CO
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Zip | 81302-4042
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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 | MRS. DEBORAH S. KARN
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Credential | LPC, CACIII, LPCC
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Telephone | 970-799-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5116
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3664
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0116501
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0127321
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License Number State | NM
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