Individual
KRISTIN RENEE TUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA, LADAC, LPCC
Contact information
Practice address
5916 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113-1894
(505) 291-6314
(505) 275-0296
Mailing address
11204 SAN JACINTO AVE NE, ALBUQUERQUE, NM 87112-5523
(505) 514-2500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0203661
NM
101YM0800X
Mental Health Counselor
CMH0224881
NM
101YP2500X
Professional Counselor
Primary
CTB-2024-0525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15858898
—
NM
Enumeration date
02/02/2018
Last updated
10/01/2025
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