Individual
KIMBERLY REID PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 JUAN TABO BLVD NE, STE 2A, ALBUQUERQUE, NM 87111-2683
(505) 933-6338
(505) 221-5710
Mailing address
5203 JUAN TABO BLVD NE, STE 2A, ALBUQUERQUE, NM 87111-2683
(505) 933-6338
(505) 221-5710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0193131
NM
Other
Enumeration date
10/13/2014
Last updated
01/15/2018
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