Provider Demographics
NPI:1942413927
Name:NASH, MARY KATE (LPCC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:KATE
Last Name:NASH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3505 CAMINO DE LA SIERRA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-5507
Mailing Address - Country:US
Mailing Address - Phone:505-615-7732
Mailing Address - Fax:505-296-4572
Practice Address - Street 1:3505 CAMINO DE LA SIERRA NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-5507
Practice Address - Country:US
Practice Address - Phone:505-615-7732
Practice Address - Fax:505-296-4572
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0103441101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health