Organization
KERSTEN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE H. KERSTEN LISW (OWNER)
(505) 550-9255
Entity
Organization
Contact information
Practice address
10701 LOMAS BLVD NE, SUITE 204, ALBUQUERQUE, NM 87112-5463
(505) 550-9255
(505) 298-2900
Mailing address
10701 LOMAS BLVD NE, SUITE 204, ALBUQUERQUE, NM 87112-5463
(505) 550-9255
(505) 298-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05378
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804636
MAGELLAN
NM
Enumeration date
06/23/2008
Last updated
06/23/2008
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