Individual
ANIKA M KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1418 LUISA ST STE 5A, SANTA FE, NM 87505-4091
(505) 795-6868
(505) 926-0906
Mailing address
PO BOX 6623, SANTA FE, NM 87502-6623
(505) 795-6868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06699
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61424374
—
NM
Enumeration date
08/25/2006
Last updated
04/19/2025
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