Individual
KERRY J NIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2707 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-4093
(505) 426-7847
Mailing address
PO BOX 158, EL CENTRO FAMILY HEALTH, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0196451
NM
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0160451
NM
101YM0800X
Mental Health Counselor
CCMH0196451
NM
Other
Enumeration date
12/18/2013
Last updated
08/27/2021
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