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General NPI Number Information
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NPI Number | 1821208901
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Entity Type | Individual
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Provider Name | STEPHANIE ANN RODRIGUEZ LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 405 ZIA AVE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4152
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Country | US
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Telephone | 575-415-8240
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Fax | 575-443-8055
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Provider Business Mailing Address
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Address Line | 1605 GEORGE DIETER DR STE 636
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City | EL PASO
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State | TX
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Zip | 79936-5692
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Country | US
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Telephone | 915-671-1371
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Fax | 915-219-9022
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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 | 0127871
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License Number State | NM
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