Individual
KELLY CHRISTINE MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1500 5TH ST, SANTA FE, NM 87505-3480
(215) 668-2225
Mailing address
1012 CALLE MARGARITA, SANTA FE, NM 87507-5164
(215) 668-2225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0210051
NM
106H00000X
Marriage & Family Therapist
T-CTL0194361
NM
Other
Enumeration date
04/16/2018
Last updated
12/27/2025
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