Individual
MS. KIMBERLY ANN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3100 TENNESSEE ST NE, ALBUQUERQUE, NM 87110-2433
(505) 235-4266
Mailing address
3100 TENNESSEE ST NE, ALBUQUERQUE, NM 87110-2433
(505) 235-4266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0206481
NM
Other
Enumeration date
04/04/2013
Last updated
12/10/2025
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