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General NPI Number Information
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NPI Number | 1598629362
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Entity Type | Organization
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Legal Business Name | SONDERMIND PROFESSIONAL CLINICAL COUNSELOR, P.C.
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 6203 SAN IGNACIO AVE STE 110
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City | SAN JOSE
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State | CA
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Zip | 95119-1358
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Country | US
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Telephone | 844-843-7279
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Fax |
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Provider Business Mailing Address
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Address Line | 1099 18TH ST STE 2350
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City | DENVER
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State | CO
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Zip | 80202-1936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CARMEN FELDMAN
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Credential |
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Telephone | 303-960-3889
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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 |
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License Number State |
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