Individual
MRS. KRIS MCVICKAR DOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 LOUSIANA NE, ALBUQUERQUE, NM 87110
(505) 888-1686
(505) 888-1683
Mailing address
2924 AVENIDA NEVADA NE, ALBUQUERQUE, NM 87110
(505) 228-2089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0122281
NM
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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