Individual
AUTUMN E KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 ALAMEDA RD, LAS VEGAS, NM 87701-3996
(505) 454-9738
(505) 454-9285
Mailing address
1437 SANTA CRUZ DR, SANTA FE, NM 87505-3865
(505) 603-3923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0142281
NM
Other
Enumeration date
01/23/2009
Last updated
10/31/2011
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