Individual
KATHLEEN N WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
12021 SKYLINE RD NE APT 2003, ALBUQUERQUE, NM 87123-2884
(505) 582-4114
Mailing address
316 CALIFORNIA ST SE TRLR 14, ALBUQUERQUE, NM 87108-5304
(505) 582-4114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0249
NM
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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