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General NPI Number Information
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NPI Number | 1366237901
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Entity Type | Organization
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Legal Business Name | SOVEREIGN SELF, LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3620 WYOMING BLVD NE STE 218
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3289
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Country | US
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Telephone | 720-446-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 WYOMING BLVD NE STE 218
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3289
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Country | US
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Telephone | 308-778-7020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NINA WILSON
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Credential | LPC, LPCC
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Telephone | 308-778-7020
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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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