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General NPI Number Information
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NPI Number | 1477006815
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Entity Type | Individual
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Provider Name | CATHRYN ANA GLENDAY MPH, MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 3939 SAN PEDRO DR NE BLDG C
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-8900
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Country | US
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Telephone | 505-369-6756
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8946
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City | ALBUQUERQUE
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State | NM
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Zip | 87198-8946
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Country | US
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Telephone | 505-264-4082
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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 | CCMH0203791
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License Number State | NM
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