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General NPI Number Information
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NPI Number | 1336758424
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Entity Type | Organization
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Legal Business Name | SANDS COUNSELING, LLC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 7400 HANCOCK CT NE STE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4592
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Country | US
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Telephone | 505-414-1769
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 COORS BLVD NW STE R
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1268
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Country | US
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Telephone | 505-414-1769
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/ OWNER
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Name | HEATHER SANDS
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Credential | LPCC
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Telephone | 505-414-1769
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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 |
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License Number State |
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