| Kitchen Table Counseling Professional Llc | |
|
333 E Jefferson St Gallup NM 87301-5113 | |
| (360) 433-7755 | |
| Not Available |
| Full Name | Kitchen Table Counseling Professional Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 333 E Jefferson St, Gallup, New Mexico |
| Authorized Official Name and Position | Sandra Geary (MEMBER) |
| Authorized Official Contact | 3604337755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitchen Table Counseling Professional Llc 333 E Jefferson St Gallup NM 87301-5113 Ph: (360) 433-7755 | Kitchen Table Counseling Professional Llc 333 E Jefferson St Gallup NM 87301-5113 Ph: (360) 433-7755 |
| NPI Number | 1861098857 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861098857 | NPI | - | NPPES |
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