Healthcare Provider Details

I. General information

NPI: 1891600490
Provider Name (Legal Business Name): KIEFER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 MARCELLA ST NE
ALBUQUERQUE NM
87112-5619
US

IV. Provider business mailing address

1006 MARCELLA ST NE
ALBUQUERQUE NM
87112-5619
US

V. Phone/Fax

Practice location:
  • Phone: 505-948-0564
  • Fax:
Mailing address:
  • Phone: 505-948-0564
  • 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: MARLO ANNE KIEFER
Title or Position: OWNER
Credential: LPCC
Phone: 505-948-0564