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General NPI Number Information
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NPI Number | 1992195093
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Entity Type | Organization
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Legal Business Name | REDWOOD COUNSELING, INC.
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 301 GRACELAND, S.E. SUITE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87108
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Country | US
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Telephone | 505-261-0952
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4339
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City | ALBUQUERQUE
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State | NM
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Zip | 87106
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Country | US
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Telephone | 505-261-0952
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONDRA REDWOOD
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Credential | MA, LPCC, LADAC
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Telephone | 505-261-0952
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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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