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NPI Code Detail

MEDICARE: KRISTIN RANKIN LMHC

MEDICARE: KRISTIN RANKIN LMHC
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
1101YM0800XMental Health Counselor0114301NM

General Provider Information

NPI Number : 1518190735
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN RANKIN LMHC
Provider Business Mailing Address
First Line : 1690 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4889
Country : US
Telephone Number : 575-566-8470
Fax Number :
Provider Business Practice Location Address
First Line : 1690 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4889
Country : US
Telephone Number : 575-566-8470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 09/04/2009

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Directions to “ KRISTIN RANKIN LMHC” Practice Location

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