Healthcare Provider Details

I. General information

NPI: 1346604857
Provider Name (Legal Business Name): KARA TROMP LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 MONTGOMERY BLVD NE BLDG 5
ALBUQUERQUE NM
87111-2468
US

IV. Provider business mailing address

6109 MOSSMAN PL NE
ALBUQUERQUE NM
87110-1321
US

V. Phone/Fax

Practice location:
  • Phone: 505-217-1717
  • Fax: 505-213-0041
Mailing address:
  • Phone: 425-293-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0179901
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: