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General NPI Number Information
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NPI Number | 1326106568
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Entity Type | Individual
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Provider Name | KATHLEEN HUNT LMSW LPCC LADAC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 315 S. HUDSON SUITE 12
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City | SILVER CITY
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State | NM
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Zip | 88061
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Country | US
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Telephone | 505-388-4497
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Fax | 505-534-1150
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Provider Business Mailing Address
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Address Line | PO BOX 1349
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City | SILVER CITY
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State | NM
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Zip | 88062-1349
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Country | US
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Telephone | 505-388-4497
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Fax | 505-534-1150
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3768
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-0321
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1708
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License Number State | NM
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