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General NPI Number Information
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NPI Number | 1427784701
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Entity Type | Individual
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Provider Name | BRITTANY DAWN GORDON LAMFT, LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 4253 MONTGOMERY BLVD NE STE G130
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1106
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Country | US
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Telephone | 505-554-1283
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Fax |
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Provider Business Mailing Address
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Address Line | 4273 MONTGOMERY BLVD NE STE K220
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6748
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Country | US
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Telephone | 55-541-2835
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2023-0872
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CTB-2024-0060
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License Number State | NM
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