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Individual

CARLA KLEEFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD., LPCC

Contact information

Practice address
650A SANTA FE TRAIL, SANTA FE, NM 87501
(505) 989-1582
(505) 988-3121
Mailing address
P.O. BOX 2063, SANTA FE, NM 87504
(505) 989-1582
(505) 988-3121

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0092001
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52604594
NM
Enumeration date
12/15/2008
Last updated
12/15/2008
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