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General NPI Number Information
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NPI Number | 1407129661
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Entity Type | Individual
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Provider Name | CATHERINE D. LEON LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 08/11/2018
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Provider Practice Location Address
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Address Line | 3620 WYOMING BLVD NE STE 118
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 505-373-1592
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Fax |
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Provider Business Mailing Address
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Address Line | 7639 ARROYO DEL OSO AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3035
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Country | US
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Telephone | 505-280-5105
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | T-0146791
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | T-0146791
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | T-0146791
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CCMH0198171
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License Number State | NM
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