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General NPI Number Information
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NPI Number | 1447111430
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Entity Type | Organization
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Legal Business Name | CRUCIBLE COUNSELING LLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 333 RIO RANCHO BLVD NE # 203A
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City | RIO RANCHO
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State | NM
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Zip | 87124-1456
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Country | US
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Telephone | 505-220-5109
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Fax |
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Provider Business Mailing Address
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Address Line | 333 RIO RANCHO BLVD NE # 203A
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City | RIO RANCHO
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State | NM
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Zip | 87124-1456
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Country | US
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Telephone | 505-220-5109
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANICE L SPRATTE
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Credential | LPCC
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Telephone | 505-220-5109
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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 |
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License Number State |
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