MEDICARE: MS. YVONNE DARLENE KAHN L.P.C.C.

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
1	101YP2500X	Professional Counselor	2556	NM
2	104100000X	Social Worker	M-1545	NM
3	101YM0800X	Mental Health Counselor	2556	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790848000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YVONNE DARLENE KAHN L.P.C.C.

Provider Business Mailing Address
First Line	:	10601 RESEARCH RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3492
Country	:	US
Telephone Number	:	505-344-5470
Fax Number	:

Provider Business Practice Location Address
First Line	:	10601 RESEARCH RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3492
Country	:	US
Telephone Number	:	505-344-5470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/19/2026

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