Individual provider · Type 1 NPI

Blake Ann Kish

Mental Health Counselor · Santa Fe, NM

NPI number 1770126468 Active

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

2504 Camino Entrada Bldg B
Santa Fe, NM 87507-4851

Other practice locations

  • 2504 Camino Entrada, Santa Fe, NM 87507-4851 · (505) 471-9453

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCTB-2024-0290 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1770126468

Blake Ann Kish's National Provider Identifier is 1770126468, issued on Oct 24, 2019. 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 Dec 19, 2024.