Individual provider · Type 1 NPI

Kiley Tebo

Mental Health Counselor · Albuquerque, NM

NPI number 1104586486 Active

Practice location

2612 Texas St NE
Albuquerque, NM 87110-4684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104586486

Kiley Tebo's National Provider Identifier is 1104586486, issued on Dec 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 28, 2021.