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NPI 1578061628

NPI 1578061628 : NICOLE J MCDOWELL-HORN LMHC, LPC-A : TEXICO, NM

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General NPI Number Information
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    NPI Number           |    1578061628
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE J MCDOWELL-HORN LMHC, LPC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/23/2018
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    Last Update Date     |    02/27/2025
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Provider Practice Location Address
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    Address Line         |    412 S AVENUE F APT 304 
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    City                 |    TEXICO
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    State                |    NM
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    Zip                  |    88135-9663
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    Country              |    US
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    Telephone            |    575-309-1286
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    412 S AVENUE F APT 304 
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    City                 |    TEXICO
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    State                |    NM
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    Zip                  |    88135-9663
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    Country              |    US
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    Telephone            |    575-309-1286
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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       |    97385
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    CTB-2023-0742
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    License Number State |    NM
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