Individual
KATHLEEN GAYE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
8300 CONSTITUTION AVENUE NE, ALBUQUERQUE, NM 87110
(505) 291-2967
(505) 291-2504
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5361
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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