Individual provider · Type 1 NPI

Kathleen Gaye Parks, LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1790096147 Active

Practice location

8300 Constitution Avenue NE
Albuquerque, NM 87110

Call (505) 291-2967 Map

Fax (505) 291-2504

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1790096147

Kathleen Gaye Parks, LPCC's National Provider Identifier is 1790096147, issued on Jun 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 30, 2010.