KATHERINE IMISLUND-CLARK, LPCC (NPI# 1598366056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598366056 |
| Entity Type | Organization |
| Organization Name | KATHERINE IMISLUND-CLARK, LPCC |
| Practice Address |
122 Girard Blvd Se Apt B Albuquerque NM 87106-2286 |
| Mailing Address |
Po Box 40354 Albuquerque NM 87196-0354 |
| Practice Telephone | 5056998440 |
| Mailing Telephone | 5056998440 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | MARI-ANNE CHANEY (OFFICE MANAGER) |
| Authorized Official Telephone | 5053153128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 11778091 | 05 |
| Street Address |
122 GIRARD BLVD SE APT B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901647 | Debra Ann Carter Lpcc LLC | Psychologist | 3321b Candelaria Rd Ne Ste 402, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1831710490 | Zia Community Cares, LLC | Psychologist | 5400 Gibson Blvd, Building 11, Albuquerque, NM 87108-8710 | 2020-05-05 |
| 1528450061 | Giving Tree Counseling, LLC | Psychologist | 8901 San Diego Ave Ne, Albuquerque, NM 87122-3636 | 2015-02-20 |
| 1780719237 | Richard P Reed | Psychologist | 8500 Menaul Blvd Ne, Suite A-330, Albuquerque, NM 87112-1273 | 2007-02-23 |
| 1912055096 | Carolina Ellen Yahne | Psychologist | 441 Solano Dr Ne, Albuquerque, NM 87108-1045 | 2007-01-08 |
| 1699838656 | Daniel J. Gallegos, Jr. | Psychologist | 1523 Columbia Dr Ne, Albuquerque, NM 87106-2634 | 2006-12-19 |
| 1104990845 | Michele Coleman | Psychologist | 1025 Hermosa Dr Se, Albuquerque, NM 87108-4312 | 2006-11-17 |
| 1417963646 | Celeste Frank | Psychologist | 3044 Ole Ct Ne, Albuquerque, NM 87111-5624 | 2006-07-31 |
| 1891700647 | Kathleen Ann Clapp | Psychologist | 10211 Montgomery Blvd Ne, Suite 7, Albuquerque, NM 87111-3608 | 2006-07-30 |
| 1124001904 | Roger Thomas Pray | Psychologist | 10200 Propps St Ne, Albuquerque, NM 87112-1554 | 2005-11-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on KATHERINE IMISLUND-CLARK, LPCC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.