Provider Demographics
NPI:1558418210
Name:MORRIS, KATHRYN LOUISE (MA, LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LOUISE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 EUBANK BLVD NE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5386
Mailing Address - Country:US
Mailing Address - Phone:505-292-1554
Mailing Address - Fax:505-292-1574
Practice Address - Street 1:1201 EUBANK BLVD NE
Practice Address - Street 2:SUITE 6
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5386
Practice Address - Country:US
Practice Address - Phone:505-292-1554
Practice Address - Fax:505-292-1574
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLPCC 1729101YP2500X
NMLMFT 1307106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM28174526Medicaid
NM92351085Medicaid