Individual
SHERWIN KEITH PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 272-2573
Mailing address
2441 CABEZON BLVD SE, RIO RANCHO, NM 87124
(505) 717-1155
(505) 717-1473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0164601
NM
101Y00000X
Counselor
Primary
—
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCMH0184991
NM
101YM0800X
Mental Health Counselor
CCMH0184991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56353081
—
NM
Enumeration date
01/18/2011
Last updated
11/08/2021
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