Provider Information for 1306089016
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Ms. KATHERINE THERESE ROYER LPCC, NCC
Sex: Female
NPI: 1306089016
Last Updated: 2012-07-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1306089016 | ||||||||
| Enumeration Date | 2009-04-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7536 PRAIRIE RD NE ALBUQUERQUE, NM 87109-1800 United States Phone: 505-362-6106 | Fax: | ||||||||
| Primary Practice Address | 2001 SPRING ROAD RIO RANCHO, NM 87124 United States Phone: 505-994-0364 | Fax:505-994-0384 | ||||||||
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