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General NPI Number Information
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NPI Number | 1730736505
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Entity Type | Organization
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Legal Business Name | BONNI AMSDEN
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1212 MORNINGSIDE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6171
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Country | US
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Telephone | 505-280-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 MONTE VISTA BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2120
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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 | MENTAL HEALTH PROVIDER
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Name | BONNI AMSDEN
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Credential | LPCC
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Telephone | 505-280-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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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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