Most Relevant Information
Provider Data
| NPI Number: | 1003439233 |
| Provider Name: | KIRA ELIZABETH WEGE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 06/11/2020 |
Provider Practice Location
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE
NM
871094314
Practice Location Phone/Fax
| Phone: | 5058841114 |
| Fax: |
Provider Mailing Location
9205 CAMINO COMETA NE
ALBUQUERQUE
NM
871111430
Provider Mailing Phone/Fax
| Phone: | 5054598523 |
| Fax: |