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General NPI Number Information
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NPI Number | 1821477852
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Entity Type | Organization
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Legal Business Name | WELLBEING COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 3636 MENAUL BLVD. NE SUITE 102
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-2842
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Country | US
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Telephone | 505-301-9997
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Fax | 505-672-7916
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Provider Business Mailing Address
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Address Line | 1021 ARIZONA ST SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-4827
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Country | US
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Telephone | 505-918-6692
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Fax | 505-672-7916
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. MARIE A. L. BRAMAN
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Credential | LCSW
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Telephone | 505-301-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C-07338
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License Number State | NM
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