Organization
SKT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KLEBANOFF-TAYLOR (LCSW)
(505) 948-4636
Entity
Organization
Contact information
Practice address
4620 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5014
(505) 948-4636
Mailing address
4620 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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