| Doctor Name: | MS. ANN EIZABETH KIRKPATRICK |
| NPI Number: | 1811012099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC,LPCC PENDING |
| License Number: | LPC 401 |
| Business Practice Address: | 159 El Rey Drive Corrales, NM - 870487117 |
| Business Phone Number: | 5052690490 |
| Business Fax Number: | 5058970419 |
| Mailing Address: | 159 El Rey Dr, CORRALES |
| State: | NM |
| Postal Code: | 870487117 |
| Phone Number: | 5052690490 |
| Fax Number: | 5058970419 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC 401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |