Individual
KATHRYN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 LOS ARBOLES AVE NE STE 100, ALBUQUERQUE, NM 87107-1962
(505) 913-7771
Mailing address
PO BOX 21782, ALBUQUERQUE, NM 87154-1782
(505) 410-7586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2024-0265
NM
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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