Individual provider · Type 1 NPI
Kenneth Kriss Goodrow Ii, MS, LPCC, NCC, CCMHC
Community/Behavioral Health Agency · Corrales, NM
Practice location
3949 Corrales Rd Ste 105
Corrales, NM 87048-9347
Fax (505) 899-4060
Mailing address
4101 Corrales Rd Unit 520
Corrales, NM 87048-4020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 0078151 (NM) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
3 other providers at this address
About NPI 1932200417
Kenneth Kriss Goodrow Ii, MS, LPCC, NCC, CCMHC's National Provider Identifier is 1932200417, issued on Sep 26, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Corrales, NM. The record was last updated on Nov 14, 2024.