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NPI Code Detail

MEDICARE: DENA M LAINO LPCC

MEDICARE:   DENA M LAINO  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorCTB-2024-0285NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164060695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA M LAINO LPCC
Provider Business Mailing Address
First Line : 3500 GEORGIA ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-2125
Country : US
Telephone Number : 505-250-8010
Fax Number :
Provider Business Practice Location Address
First Line : 1924 JUAN TABO BLVD NE STE E
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-3358
Country : US
Telephone Number : 505-616-6813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2019
Last Update Date : 04/28/2025

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Directions to “ DENA M LAINO LPCC” Practice Location

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