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NPI Code Detail

MEDICARE: KATHERINE THOMPSON

MEDICARE: KATHERINE THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCTB-2026-0508NM

General Provider Information

NPI Number : 1275333452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE THOMPSON
Provider Business Mailing Address
First Line : 5312 GABLE ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-4439
Country : US
Telephone Number : 504-920-8844
Fax Number :
Provider Business Practice Location Address
First Line : 9007 WASHINGTON ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2722
Country : US
Telephone Number : 505-503-0272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2025
Last Update Date : 06/17/2026

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Directions to “ KATHERINE THOMPSON ” Practice Location

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