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NPI 1578733143

NPI 1578733143 : REBECCA MACATEE ROZELL LPCC, LADAC : ALBUQUERQUE, NM

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General NPI Number Information
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    NPI Number           |    1578733143
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA MACATEE ROZELL LPCC, LADAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2008
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    Last Update Date     |    07/07/2010
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Provider Practice Location Address
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    Address Line         |    7920 MOUNTAIN RD NE 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87110-7805
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    Country              |    US
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    Telephone            |    505-974-0329
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    Fax                  |    505-292-1428
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Provider Business Mailing Address
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    Address Line         |    7920 MOUNTAIN RD NE 
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87110-7805
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    Country              |    US
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    Telephone            |    505-974-0329
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    Fax                  |    505-292-1428
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    0083601
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    License Number State |    NM
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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       |    0110531
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    License Number State |    NM
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