Individual
KELCIE BRYNN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 HANCOCK CT NE, ALBUQUERQUE, NM 87109-4591
(505) 600-6631
Mailing address
8100 WYOMING BLVD NE M4-#240, ALBUQUERQUE, NM 87113-1963
(505) 600-6631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0223011
NM
Other
Enumeration date
08/21/2018
Last updated
09/20/2023
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