Individual provider · Type 1 NPI
Mariah Kayla Jake
Mental Health Counselor · Tohajiilee, NM
NPI number
1629904198
Active
Practice location
67 Tribal Road N7071 Unit 3414
Tohajiilee, NM 87026-5115
Mailing address
3809 Atrisco Dr NW Ste A
Albuquerque, NM 87120-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1629904198
Mariah Kayla Jake's National Provider Identifier is 1629904198, issued on Jun 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tohajiilee, NM. The record was last updated on Jul 16, 2026.