Individual
MS. KIMBERLY SHANNON BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W., L.A.D.A.C.
Contact information
Practice address
400 N PENNSYLVANIA AVE STE 670C, ROSWELL, NM 88201-4755
(575) 623-7336
(575) 623-7337
Mailing address
400 N PENNSYLVANIA AVE STE 670C, ROSWELL, NM 88201-4755
(575) 623-7336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0086251
NM
1041C0700X
Clinical Social Worker
Primary
I-07345
NM
Other
Enumeration date
06/03/2009
Last updated
07/18/2024
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