Individual provider · Type 1 NPI

Kendall Derosso

Mental Health Counselor · Santa Fe, NM

NPI number 1750177960 Active

Practice location

3952 San Felipe Rd
Santa Fe, NM 87507-8073

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750177960

Kendall Derosso's National Provider Identifier is 1750177960, issued on Apr 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Apr 15, 2025.