| Kristin Knoll, LMHC | |
|
735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | |
| (505) 865-3350 | |
| (505) 865-4739 |
| Full Name | Kristin Knoll |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 735 Don Pasqual Rd Nw, Los Lunas, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720076136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 80441 (New Mexico) | Primary |
| Entity Name | Life Change Psychotherapy Institute, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740409135 PECOS PAC ID: 6305107897 Enrollment ID: O20180226000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Knoll, LMHC 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 Ph: (505) 865-3350 | Kristin Knoll, LMHC 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 Ph: (505) 865-3350 |
David Young, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 | |
Ryan Mcnamara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Highway 314 Ne, Los Lunas, NM 87031 Phone: 505-944-6626 | |
Jennifer Ferry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739 | |
Jo Ann Brito-riel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Camino Del Rey Ste B, Los Lunas, NM 87031 Phone: 505-222-0814 Fax: 505-222-0873 | |
Craig Schimke, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739 | |
Gloria Galvan-caes, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 | |
Emma Ortega, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 Luna St Se, Los Lunas, NM 87031 Phone: 505-565-1619 Fax: 505-565-1620 |