Healthcare Provider Details

I. General information

NPI: 1659971588
Provider Name (Legal Business Name): KATHERINE THRIFT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 BRUNN SCHOOL RD STE C
SANTA FE NM
87505-1102
US

IV. Provider business mailing address

30 VISTA PRECIOSO
SANTA FE NM
87507-3450
US

V. Phone/Fax

Practice location:
  • Phone: 505-577-0382
  • Fax:
Mailing address:
  • Phone: 505-474-8198
  • 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: KATHERINE THRIFT
Title or Position: OWNER/LICENSED PROF. COUNSELOR
Credential: LPCC
Phone: 505-577-0382