Individual
KEVIN ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 900-3677
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 900-3677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0183051
NM
101YM0800X
Mental Health Counselor
T-0181121
NM
Other
Enumeration date
05/09/2016
Last updated
10/02/2020
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