Individual
DYLAN R KESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1207 SAN GABRIEL ST, BERNALILLO, NM 87004-5648
(505) 635-1980
Mailing address
1207 SAN GABRIEL ST, BERNALILLO, NM 87004-5648
(505) 635-1980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0760
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0204901
NM
Other
Enumeration date
08/08/2019
Last updated
12/10/2025
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