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General NPI Number Information
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NPI Number | 1396199279
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Entity Type | Organization
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Legal Business Name | WHITE OAKS COUNSELING, LLC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1420 S AVENUE O
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City | PORTALES
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State | NM
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Zip | 88130-7001
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Country | US
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Telephone | 575-356-2347
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Fax | 575-356-2347
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Provider Business Mailing Address
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Address Line | PO BOX 776
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City | PORTALES
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State | NM
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Zip | 88130-0776
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Country | US
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Telephone | 575-356-2347
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Fax | 575-356-2347
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Authorized Official
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Title or Position | OWNER
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Name | ROXIE A JOYNER
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Credential | M.A., LPCC, NCC
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Telephone | 575-356-2347
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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 | 4087
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License Number State | NM
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