Individual
KRISTIN LICHTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4004 CARLISLE BLVD NE STE G, ALBUQUERQUE, NM 87107-4566
(505) 588-8207
Mailing address
3825 MONTGOMERY BLVD NE APT 121, ALBUQUERQUE, NM 87109-1007
(505) 588-8207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0733
NM
Other
Enumeration date
11/22/2013
Last updated
10/03/2024
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