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General NPI Number Information
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NPI Number | 1467026807
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Entity Type | Individual
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Provider Name | JORDAN REDMOND LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 901 RIO GRANDE BLVD NW STE H160
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-2063
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Country | US
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Telephone | 910-604-2991
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 ACADEMY RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3306
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Country | US
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Telephone | 877-727-8274
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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-2024-0665
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License Number State | NM
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