| Katherinethrift, Lpcc | |
|
404 Brunn School Rd Ste C Santa Fe NM 87505-1102 | |
| (505) 577-0382 | |
| Not Available |
| Full Name | Katherinethrift, Lpcc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 404 Brunn School Rd Ste C, Santa Fe, New Mexico |
| Authorized Official Name and Position | Katherine Thrift (OWNER/LICENSED PROF. COUNSELOR) |
| Authorized Official Contact | 5055770382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherinethrift, Lpcc 30 Vista Precioso Santa Fe NM 87507-3450 Ph: (505) 474-8198 | Katherinethrift, Lpcc 404 Brunn School Rd Ste C Santa Fe NM 87505-1102 Ph: (505) 577-0382 |
| NPI Number | 1659971588 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659971588 | NPI | - | NPPES |
| 54077753 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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