Individual
MS. KATHERINE ANNE KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4800 COLLEGE BLVD, SUITE 102, FARMINGTON, NM 87402-4710
(505) 326-3566
Mailing address
4800 COLLEGE BLVD, SUITE 102, FARMINGTON, NM 87402-4710
(505) 326-3566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0117971
NM
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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