Individual
LISA KLEINSTIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
Mailing address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0629
NM
175T00000X
Peer Specialist
1778
NM
Other
Enumeration date
10/11/2024
Last updated
09/17/2025
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