| Miss Kristine Susan Souza, LMFT | |
|
3949 Corrales Rd Ste 205, Corrales, NM 87048-9348 | |
| (505) 385-0439 | |
| Not Available |
| Full Name | Miss Kristine Susan Souza |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3949 Corrales Rd Ste 205, Corrales, 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 |
|---|---|---|---|
| 1386760452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 0114541 (New Mexico) | Primary |
| Entity Name | New Mexico Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134411259 PECOS PAC ID: 1759720782 Enrollment ID: O20240423003159 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kristine Susan Souza, LMFT 3949 Corrales Rd Ste 205, Corrales, NM 87048-9348 Ph: (505) 385-0439 | Miss Kristine Susan Souza, LMFT 3949 Corrales Rd Ste 205, Corrales, NM 87048-9348 Ph: (505) 385-0439 |
Sahnta Lee Di Cesare-pannutti, LPAT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23 Calle Blanca, Corrales, NM 87048 Phone: 505-264-3933 | |
Kirsten Hermann, L.M.F.T. Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 4686 Corrales Rd, Corrales, NM 87048 Phone: 505-899-3544 Fax: 815-346-2321 |