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General NPI Number Information
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NPI Number | 1730054172
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Entity Type | Organization
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Legal Business Name | DISCIPLESHIP COUNSELING AND CONSULTING SERVICES LLC.
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3 CALLE VISTA
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City | RANCHOS DE TAOS
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State | NM
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Zip | 87557
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Country | US
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Telephone | 575-613-6952
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3132
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City | RANCHOS DE TAOS
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State | NM
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Zip | 87557-3132
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Country | US
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Telephone | 575-342-1710
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC T MARES
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Credential | LCSW
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Telephone | 575-613-6952
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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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