Healthcare Provider Details

I. General information

NPI: 1972430544
Provider Name (Legal Business Name): KENDRA MARLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9007 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2722
US

IV. Provider business mailing address

917 LOMA PINON LOOP NE
RIO RANCHO NM
87144-0590
US

V. Phone/Fax

Practice location:
  • Phone: 505-503-0272
  • Fax:
Mailing address:
  • Phone: 505-220-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: