Individual
MS. KATHY F. TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RN, LPCC
Contact information
Practice address
9301 INDIAN SCHOOL RD NE, STE. 101-A, ALBUQUERQUE, NM 87112-2884
(505) 480-9782
(505) 271-1714
Mailing address
9301 INDIAN SCHOOL RD NE, STE. 101-A, ALBUQUERQUE, NM 87112-2884
(505) 480-9782
(505) 271-1714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1647
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35425
PRESBYTERIAN HEALTH PLAN
NM
05
—
B6225
—
NM
01
—
NM101079
VALUEOPTIONS OF NM
NM
01
—
R81I
BCBS
NM
Enumeration date
12/11/2006
Last updated
07/09/2007
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