Individual
KELLY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CHILDREN S PSYCHIATRIC HOSPITAL, 1001 YALE BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2890
(505) 272-1943
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5006
NM
101YP2500X
Professional Counselor
Primary
0128141
NM
Other
Enumeration date
08/02/2006
Last updated
03/22/2017
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