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General NPI Number Information
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NPI Number | 1356691737
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Entity Type | Individual
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Provider Name | ROCHELL DENISE CLAY MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 750 BROADMOOR BLVD NE STE E
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City | RIO RANCHO
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State | NM
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Zip | 87124-3442
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Country | US
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Telephone | 505-306-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 BRODIE LN STE 160
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City | AUSTIN
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State | TX
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Zip | 78748-5892
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Country | US
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Telephone | 505-306-4060
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0177271
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License Number State | NM
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