Provider Demographics
NPI:1477321271
Name:ARAGON, KAYLYNN (LMHC)
Entity Type:Individual
Prefix:
First Name:KAYLYNN
Middle Name:
Last Name:ARAGON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 SPANISH BROOM AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2589
Mailing Address - Country:US
Mailing Address - Phone:505-916-4217
Mailing Address - Fax:
Practice Address - Street 1:9400 HOLLY AVE NE BLDG 9400
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-2968
Practice Address - Country:US
Practice Address - Phone:505-886-1381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2022-0434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health