Individual
KATIE KUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(952) 228-0047
Mailing address
11820 HOLIDAY AVE NE, ALBUQUERQUE, NM 87111-5234
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1758
MN
Other
Enumeration date
11/19/2007
Last updated
05/15/2025
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