Individual
KATHLENE (KATE) BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 289-1042
(505) 466-5895
Mailing address
1316 JACKIE RD SE STE 900, ALBUQUERQUE, NM 87124-6612
(505) 289-1042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0162831
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76500331
—
NM
Enumeration date
02/14/2014
Last updated
12/04/2018
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