Individual
MS. KATHRYN ANNETTE BRIZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5608 ZUNNI RD. NE, ALBUQUERQUE, NM 87108
(505) 262-6068
Mailing address
3610 HAVASU FALLS ST NE, RIO RANCHO, NM 87144-2549
(505) 916-9091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC1591
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R99Z
BCBSNM
NM
01
—
NM100112
VALUEOPTIONS NM
NM
05
—
Z8794
—
NM
Enumeration date
05/19/2007
Last updated
11/13/2012
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