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General NPI Number Information
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NPI Number | 1790643757
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Entity Type | Organization
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Legal Business Name | COLLEEN M KRINARD
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 3539 THAXTON AVE SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1628
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Country | US
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Telephone | 541-707-7852
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25343
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86312-5343
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Country | US
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Telephone | 541-707-7852
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. COLLEEN KRINARD
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Credential | LCSW
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Telephone | 541-707-7852
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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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