| Kirsten Nelson Llc | |
|
644 Old Santa Fe Trl Apt B Santa Fe NM 87505-0404 | |
| (575) 224-1077 | |
| Not Available |
| Full Name | Kirsten Nelson Llc |
|---|---|
| Speciality | Counselor |
| Location | 644 Old Santa Fe Trl Apt B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Kirsten Nelson (OWNER) |
| Authorized Official Contact | 5752241077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Nelson Llc 644 Old Santa Fe Trl Apt B Santa Fe NM 87505-0404 Ph: (575) 224-1077 | Kirsten Nelson Llc 644 Old Santa Fe Trl Apt B Santa Fe NM 87505-0404 Ph: (575) 224-1077 |
| NPI Number | 1750094736 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 4880119619 |
|---|---|
| Medicare Enrollment ID | O20250415000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750094736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kirsten Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184289449 PECOS PAC ID: 3173040029 Enrollment ID: I20250506000294 |
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