Organization
BLUE SKY COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIMBALL (OWNER)
(575) 443-6166
Entity
Organization
Contact information
Practice address
1301 OREGON AVE, ALAMOGORDO, NM 88310-5710
(575) 491-9802
Mailing address
PO BOX 553, HIGH ROLLS MOUNTAIN PARK, NM 88325-0553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24735795
—
NM
Enumeration date
07/31/2018
Last updated
10/27/2020
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