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General NPI Number Information
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NPI Number | 1720300106
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Entity Type | Individual
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Provider Name | YOLANDA ALICIA CAMACHO LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 204 ANGELINA BLVD
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City | CHAPARRAL
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State | NM
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Zip | 88081-7558
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Country | US
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Telephone | 575-824-8100
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Fax | 575-824-8101
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Provider Business Mailing Address
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Address Line | 5208 CORNELL AVE
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City | EL PASO
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State | TX
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Zip | 79924-5334
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Country | US
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Telephone | 915-356-0741
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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 | CCMH0219491
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64023
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License Number State | TX
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