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General NPI Number Information
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NPI Number | 1962908475
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Entity Type | Organization
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Legal Business Name | KATIE HALL ART THERAPY & COUNSELING
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1000 CANYON RD
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City | SANTA FE
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State | NM
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Zip | 87501-6124
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Country | US
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Telephone | 270-300-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 212 CHAPELLE ST
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City | SANTA FE
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State | NM
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Zip | 87501-1812
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Country | US
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Telephone | 270-300-1920
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Fax |
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Authorized Official
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Title or Position | ART THERAPIST AND COUNSELOR
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Name | MRS. DEBORAH KATHERINE HALL
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Credential | MA, LPAT, LPCC
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Telephone | 270-300-1920
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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 |
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License Number State |
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