Healthcare Provider Details

I. General information

NPI: 1134972458
Provider Name (Legal Business Name): KAREN DURHAM LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NIA DURHAM

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9007 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2722
US

IV. Provider business mailing address

9007 WASHINGTON ST NE
ALBUQUERQUE NM
87113-2722
US

V. Phone/Fax

Practice location:
  • Phone: 505-503-0273
  • Fax: 505-444-6513
Mailing address:
  • Phone: 505-530-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: