Individual
KATELYN N PRATICO WEATHERRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, STUDENT
Contact information
Practice address
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106-2261
(505) 750-0566
(505) 796-5475
Mailing address
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106-2261
(505) 460-2654
(505) 796-5475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NM
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Enumeration date
02/05/2025
Last updated
02/26/2026
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