Doctor Name: | MS. VERNA ANN KENNETH |
NPI Number: | 1972893436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA, LSAA, CMS |
License Number: | 0138591 |
Business Practice Address: | North 371 Southwest Highland Drive Crownpoint, NM - 87313 |
Business Phone Number: | 5057862111 |
Business Fax Number: | 5057865442 |
Mailing Address: | Box 1144, Southwest Highland Drive CROWNPOINT |
State: | NM |
Postal Code: | 873131144 |
Phone Number: | 5057862111 |
Fax Number: | 5057865442 |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0138591 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |