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Individual

KRISTINA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5101 COPPER AVE NE, ALBUQUERQUE, NM 87108-5352
(505) 934-6195
Mailing address
5101 COPPER AVE NE, ALBUQUERQUE, NM 87108-5352
(505) 934-6195

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB20250359
NM
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/13/2016
Last updated
08/14/2026
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