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General NPI Number Information
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NPI Number | 1750563235
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Entity Type | Individual
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Provider Name | ALLISON CHRISTINE ELSE LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 198 TEXAS STREET SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108
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Country | US
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Telephone | 505-272-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 12441 PROSPECT AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-3648
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Country | US
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Telephone | 608-343-2477
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2022-0695
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License Number State | NM
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