Individual
KATHLEEN MUEHLENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4421 KELLIA LN NE, ALBUQUERQUE, NM 87111-4223
(505) 440-6192
Mailing address
4421 KELLIA LN NE, ALBUQUERQUE, NM 87111-4223
(505) 440-6192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2593
NM
101YM0800X
Mental Health Counselor
Primary
2593
NM
101YP2500X
Professional Counselor
2593
NM
103TC1900X
Counseling Psychologist
2593
NM
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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