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1932200417
KENNETH KRISS GOODROW
CORRALES, NM
NPI
1932200417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
(Licence: NM 0078151)
Enumeration Date
2006-09-26
Last Update Date
2024-11-14
Business Address
Mr. KENNETH KRISS GOODROW MS, LPCC, NCC, CCMHC
3949 CORRALES RD STE 105
CORRALES, NM 87048-9347
Phone number: 505-239-7459
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Mailing Address
Mr. KENNETH KRISS GOODROW MS, LPCC, NCC, CCMHC
4101 CORRALES RD UNIT 520
CORRALES, NM 87048-4020
Phone number: 505-239-7459
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