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Individual

KATHERINE IRENE CONVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADAC, LMSW-P

Contact information

Practice address
1007 N POPE ST, SILVER CITY, NM 88061-5161
(575) 800-1467
(575) 313-8236
Mailing address
530 DEMOSS ST., LORDSBURG, NM 88045
(575) 800-1467
(575) 313-8235

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0252
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2026-0143
NM
104100000X
Social Worker
SWB-2025-0066
NM
104100000X
Social Worker
Primary
SWB-2026-0092
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1186755
NM
05
N0008720
NM
Enumeration date
07/05/2022
Last updated
05/08/2026
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