| Kathleen Basler Lmft Llc | |
|
716 El Prado Ave Las Cruces NM 88005-2968 | |
| (575) 202-5675 | |
| Not Available |
| Full Name | Kathleen Basler Lmft Llc |
|---|---|
| Speciality | Counselor |
| Location | 716 El Prado Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Kathleen Basler (THERAPIST/ CEO) |
| Authorized Official Contact | 5752025675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Basler Lmft Llc 716 El Prado Ave Las Cruces NM 88005-2968 Ph: (575) 202-5675 | Kathleen Basler Lmft Llc 716 El Prado Ave Las Cruces NM 88005-2968 Ph: (575) 202-5675 |
| NPI Number | 1912403221 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 7315397320 |
|---|---|
| Medicare Enrollment ID | O20240103000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912403221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0109391 (New Mexico) | Primary |
| Provider Name | Kathy Cecelia Basler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558571653 PECOS PAC ID: 8224488234 Enrollment ID: I20240103000284 |
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