Individual
SAGE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
343 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87108-1035
(505) 265-4727
(505) 266-2236
Mailing address
343 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87108-1035
(505) 265-4727
(505) 266-2236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1356
NM
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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