Individual
KIMBERLY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
4655 CORRALES RD UNIT A, CORRALES, NM 87048-8617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0129201
NM
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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