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General NPI Number Information
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NPI Number | 1992500094
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Entity Type | Organization
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Legal Business Name | THE GOLD STANDARD MENTAL HEALTH INSTITUTE, P.C
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 8 LADERA RD
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City | SANTA FE
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State | NM
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Zip | 87508-8301
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Country | US
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Telephone | 505-289-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CHUSCO RD
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City | SANTA FE
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State | NM
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Zip | 87508-8779
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Country | US
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Telephone | 505-289-7115
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/ PRESIDENT
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Name | MRS. JUIANA F RODRIGUEZ
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Credential | LMFT
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Telephone | 505-289-7115
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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