| Kerry Niec Ma Lpcc | |
|
2707 Hot Springs Blvd Las Vegas NM 87701-4093 | |
| (505) 426-7847 | |
| Not Available |
| Full Name | Kerry Niec Ma Lpcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2707 Hot Springs Blvd, Las Vegas, New Mexico |
| Authorized Official Name and Position | Kerry Niec (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5054267847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Niec Ma Lpcc Po Box 3772 Las Vegas NM 87701-6772 Ph: (505) 426-7847 | Kerry Niec Ma Lpcc 2707 Hot Springs Blvd Las Vegas NM 87701-4093 Ph: (505) 426-7847 |
| NPI Number | 1427617612 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427617612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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