Kim M Servent
Mental Health Counselor
1601a Saint Michaels Dr
Santa Fe
, New Mexico 87505-7614
Kim M Servent
Mental Health Counselor
1601a Saint Michaels Dr
Santa Fe
, New Mexico 87505-7614
(505) 989-5012
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Kim M Servent
- 452 Acequia Madre Apt 2
- Santa Fe, NM
- Zip : 87505-2311
- Phone : (505) 989-5012
Second Address
- Kim M Servent
- 1601a Saint Michaels Dr
- Santa Fe, NM
- Zip : 87505-7614
- Fax : (505) 954-8794
- Phone : (505) 954-8786
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | T-0094661 | NM |
National Provider Identifier
| NPI | 1003035411 |
|---|---|
| Provider Name | Kim M Servent |
| First Address | Santa Fe, NM 87505-2311 |
| Second Address | Santa Fe, NM 87505-7614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.