Individual
MRS. KATHERINE IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT
Contact information
Practice address
2929 COORS BLVD NW, SUITE 201D, ALBUQUERQUE, NM 87120-1173
(505) 238-3520
(505) 867-6283
Mailing address
PO BOX 37, PLACITAS, NM 87043-0037
(505) 238-3520
(505) 867-6283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3296
NM
101YM0800X
Mental Health Counselor
Primary
5541
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JN89
BLUE CROSS BLUE SHIELD
NM
01
—
10006728
LOVELACE SANDIA IHEALTH
NM
01
—
1150415
CIGNA
NM
05
—
18338267
—
NM
01
—
201014626
PRESBYTERNIAN HEALTH PLAN
NM
01
—
23029
LOVELACE SANDIA IHEALTH
NM
01
—
NM100484
VALUE OPTIONS
NM
Enumeration date
12/12/2006
Last updated
08/12/2013
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