DEBRA DEDERICH-ELSNER LPCC NPI 1053781146

NPI Information

NPI: 1053781146
Provider Name: DEBRA DEDERICH-ELSNER, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2112 MAIN ST NE
LOS LUNAS, NM
ZIP 87031
Phone: (505) 717-1155
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Debra Dederich-elsner, LPCC is a professional counselor in Los Lunas, NM. Debra Dederich-elsner, LPCC NPI is 1053781146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2112 MAIN ST NE
LOS LUNAS, NM
ZIP 87031-097
Phone: (505) 717-1155
Fax: (505) 717-1473

The enumeration date for this NPI number is 10/1/2015 and was last updated on 9/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2316-226	WISCONSIN	No
2	101YP2500X	Counselor	Professional	CCMH0206261	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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