Individual
WILLIAM K BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4011 BARBARA LOOP SE, RIO RANCHO, NM 87124-1039
(505) 842-9911
Mailing address
1645 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1710
(505) 842-9911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2023-0586
NM
101YP2500X
Professional Counselor
CTB-2023-0586
NM
Other
Enumeration date
12/21/2018
Last updated
12/30/2024
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