Individual
DR. KATHLEEN MCCANN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 CALIENTE RD, SUITE 6, SANTA FE, NM 87508-9209
(505) 930-5001
Mailing address
3 CALIENTE RD, SUITE 6, SANTA FE, NM 87508-9209
(505) 930-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0169931
NM
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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