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General NPI Number Information
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NPI Number | 1437728490
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Entity Type | Organization
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Legal Business Name | CARMEN ULIBARRI, LPCC
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 2313 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701-3734
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Country | US
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Telephone | 505-429-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 2313 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701-3734
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Country | US
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Telephone | 505-429-3241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN ULIBARRI
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Credential | LPCC
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Telephone | 505-429-3241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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