Individual
TRACY ANN REAGAN KIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1400 SUDDERTH, RUIDOSO, NM 88345
(575) 630-0571
(575) 630-0574
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0147561
NM
106H00000X
Marriage & Family Therapist
422
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
07/01/2006
Last updated
03/28/2014
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