Individual
KIM M SERVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1601A SAINT MICHAELS DR, SANTA FE, NM 87505-7614
(505) 954-8786
(505) 954-8794
Mailing address
452 ACEQUIA MADRE APT 2, SANTA FE, NM 87505-2311
(505) 989-5012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0094661
NM
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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