Provider Demographics
NPI:1649164989
Name:EDWARDS, KATHLEEN MARGARET (LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARGARET
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9112 ORLANDO PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3334
Mailing Address - Country:US
Mailing Address - Phone:505-293-3305
Mailing Address - Fax:
Practice Address - Street 1:10513 2ND ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-2403
Practice Address - Country:US
Practice Address - Phone:505-803-8722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2025-0341101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health