Provider Demographics
NPI:1336213891
Name:SEARS, KENNETH HOYER JR (MA, LMHC)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:HOYER
Last Name:SEARS
Suffix:JR
Gender:M
Credentials:MA, LMHC
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Mailing Address - Street 1:2905 RODEO PARK DR E
Mailing Address - Street 2:BUILDING #3
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6313
Mailing Address - Country:US
Mailing Address - Phone:505-660-6670
Mailing Address - Fax:505-986-0194
Practice Address - Street 1:2905 RODEO PARK DR E
Practice Address - Street 2:BUILDING #3
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6313
Practice Address - Country:US
Practice Address - Phone:505-660-6670
Practice Address - Fax:505-986-0194
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM78431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health