Individual
KIRSTEN M. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
945 SALAZAR RD, TAOS, NM 87571-8231
(575) 758-8082
Mailing address
422 THEODORA ST, TAOS, NM 87571-6396
(575) 224-1077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0202171
NM
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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