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General NPI Number Information
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NPI Number | 1467582783
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Entity Type | Individual
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Provider Name | DEBRA VEGA-COWAN LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 828 DESI LOOP
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City | BELEN
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State | NM
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Zip | 87002-8026
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Country | US
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Telephone | 505-860-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 4169 MONTGOMERY BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6742
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Country | US
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Telephone | 505-261-9770
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CCMH0115591
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License Number State | NM
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