Individual
COURTNEY KAYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
77 OLD GALISTEO RD, SANTA FE, NM 87508-5947
(856) 816-2184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CTB-2024-0697
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2021
Last updated
09/26/2024
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