| Kaytea Hendricks Psychotherapy, Llc | |
|
1532 Cerrillos Rd Ste C1 Santa Fe NM 87505-3512 | |
| (719) 760-2969 | |
| Not Available |
| Full Name | Kaytea Hendricks Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1532 Cerrillos Rd Ste C1, Santa Fe, New Mexico |
| Authorized Official Name and Position | Katharine Hendricks (SELF EMPLOYED) |
| Authorized Official Contact | 7197602969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaytea Hendricks Psychotherapy, Llc 1532 Cerrillos Rd Ste C1 Santa Fe NM 87505-3512 Ph: (719) 760-2969 | Kaytea Hendricks Psychotherapy, Llc 1532 Cerrillos Rd Ste C1 Santa Fe NM 87505-3512 Ph: (719) 760-2969 |
| NPI Number | 1700626314 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700626314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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