Individual
MRS. KASSANDRA FAYE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
753 E ROOSEVELT AVE, GRANTS, NM 87020-2113
(505) 865-4140
Mailing address
537 JEFFERSON AVE, GRANTS, NM 87020-2729
(505) 290-9193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NM
101YM0800X
Mental Health Counselor
Primary
—
NM
103K00000X
Behavior Analyst
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/09/2024
Last updated
07/14/2026
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