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General NPI Number Information
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NPI Number | 1932011103
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Entity Type | Organization
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Legal Business Name | FROM DARKNESS TO LIGHT COUNSELING
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1207 GOLF COURSE RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87124-1999
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Country | US
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Telephone | 505-227-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 10608 PAVON PL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5886
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Country | US
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Telephone | 505-730-6962
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Fax |
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Authorized Official
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Title or Position | INTERN
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Name | KATELYN HAWKINS
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Credential |
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Telephone | 505-730-6962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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