MEDICARE: KATHERINE PAGE HILL LPCC, LMHC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00005689	WA
2	101YP2500X	Professional Counselor	CCMH0205721	NM

General Provider Information

NPI Number	:	1962529834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE PAGE HILL LPCC, LMHC, NCC

Provider Business Mailing Address
First Line	:	9501 VENTOSE PL NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-3628
Country	:	US
Telephone Number	:	505-456-2303
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 CARLISLE BLVD NE STE G
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4532
Country	:	US
Telephone Number	:	505-456-2303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	06/05/2024

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