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Organization
KANDI COLLIIER LLC
Active
Organization
KANDI COLLIIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDI COLLIER LPCC (OWNER)
(505) 610-1439
Entity
Organization
Contact information
Practice address
3500 COMANCHE RD NE BUILDING E, SUITE 21, ALBUQUERQUE, NM 87059
(505) 610-1439
(505) 281-3682
Mailing address
27 JAKES PL, TIJERAS, NM 87059-6301
(505) 610-1439
(505) 281-3682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0193881
NM
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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