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General NPI Number Information
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NPI Number | 1912976648
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY & COUNSELING SERVICES INC
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 119 TELLES ST SW
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City | LOS LUNAS
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State | NM
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Zip | 87031-8518
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Country | US
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Telephone | 505-865-7100
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Fax | 505-865-7100
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Provider Business Mailing Address
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Address Line | PO BOX 1757 119 TELES SW
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City | LOS LUNAS
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State | NM
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Zip | 87031-1757
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Country | US
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Telephone | 505-865-7100
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Fax | 505-865-7100
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CLIFFORD O. MORGAN JR.
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Credential | PH.D
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Telephone | 505-865-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 174
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License Number State | NM
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