| Coyote Counseling, Llc | |
|
3321b Candelaria Rd Ne Suite 305 Albuquerque NM 87107 | |
| (505) 717-5992 | |
| (505) 554-3435 |
| Full Name | Coyote Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3321b Candelaria Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kathryn Young (OWNER) |
| Authorized Official Contact | 5057175992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coyote Counseling, Llc Po Box 53044 Albuquerque NM 87153-3044 Ph: (505) 717-5992 | Coyote Counseling, Llc 3321b Candelaria Rd Ne Suite 305 Albuquerque NM 87107 Ph: (505) 717-5992 |
| NPI Number | 1871256347 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Medicare PECOS PAC ID | 0143665265 |
|---|---|
| Medicare Enrollment ID | O20240228003942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871256347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982168662 PECOS PAC ID: 3577901420 Enrollment ID: I20240411003186 |
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