Most Relevant Information
Provider Data
| NPI Number: | 1003035411 |
| Provider Name: | KIM M SERVENT LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | T-0094661 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1601A SAINT MICHAELS DR
SANTA FE
NM
875057614
Practice Location Phone/Fax
| Phone: | 5059548786 |
| Fax: | 5059548794 |
Provider Mailing Location
452 ACEQUIA MADRE APT 2
SANTA FE
NM
875052311
Provider Mailing Phone/Fax
| Phone: | 5059895012 |
| Fax: |