Individual
KATHLEEN FREEBIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LADAC
Contact information
Practice address
1100 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1937
(575) 420-1310
(505) 890-2876
Mailing address
1100 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1937
(575) 420-1310
(505) 890-2976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
I-04800
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
4097
NM
Other
Enumeration date
12/14/2006
Last updated
12/11/2009
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