MEDICARE: BRANDY KATE ACKLAND LPCC

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	101YM0800X	Mental Health Counselor	CTB-2022-0277	NM

General Provider Information

NPI Number	:	1902415417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY KATE ACKLAND LPCC

Provider Business Mailing Address
First Line	:	302 BLUEBIRD ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-2806
Country	:	US
Telephone Number	:	406-461-1899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 W MERMOD ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4468
Country	:	US
Telephone Number	:	575-200-3929
Fax Number	:

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

Provider Enumeration Date	:	07/30/2020
Last Update Date	:	06/16/2026

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Directions to “ BRANDY KATE ACKLAND LPCC” Practice Location

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