Individual
DR. SANDRA KIERSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
44 ALTEZA, SANTA FE, NM 87508-2217
(505) 466-4853
Mailing address
44 ALTEZA, SANTA FE, NM 87508-2217
(505) 466-4853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0107461
NM
103T00000X
Psychologist
Primary
007316-1
NY
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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