Individual
MCKEON DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 766-5197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0223601
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14707781
—
NM
Enumeration date
05/02/2022
Last updated
06/07/2022
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