Individual
KAITLIN ANNA DURRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1213 GEORGENE DR NE, ALBUQUERQUE, NM 87112-6011
(575) 770-5265
Mailing address
1213 GEORGENE DR NE, ALBUQUERQUE, NM 87112-6011
(575) 770-5265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0201401
NM
Other
Enumeration date
02/17/2016
Last updated
12/22/2023
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