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General NPI Number Information
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NPI Number | 1285114884
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Entity Type | Individual
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Provider Name | NOEL KOFOED LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1217 1ST ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1529
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Country | US
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Telephone | 505-737-7858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25445
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-0445
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Country | US
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Telephone | 505-767-1128
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CCMH0224961
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License Number State | NM
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