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1770098311
KIMBERLY A ELLIOTT
ALBUQUERQUE, NM
NPI
1770098311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CTB-2023-0220)
Enumeration Date
2017-12-05
Last Update Date
2024-12-09
Business Address
KIMBERLY A ELLIOTT LPCC
4588 PARADISE BLVD NW VIRTUAL BEHAVIORAL HEALTH
ALBUQUERQUE, NM 87114-4105
Phone number: 505-923-2070
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Mailing Address
KIMBERLY A ELLIOTT LPCC
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-2070
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