Organization
KERRY NIEC MA LPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY NIEC LPCC (CLINICAL MENTAL HEALTH COUNSELOR)
(505) 426-7847
Entity
Organization
Contact information
Practice address
2707 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-4093
(505) 426-7847
Mailing address
PO BOX 3772, LAS VEGAS, NM 87701-6772
(505) 426-7847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
08/27/2021
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