Individual
KAITLIN HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
X-10137
NM
104100000X
Social Worker
Primary
M-10255
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74725572
—
NM
Enumeration date
07/15/2017
Last updated
05/21/2018
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