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Kitchen Table Counseling Professional Llc
Multi-Specialty Clinic/Center in Gallup, New Mexico
NPI 1861098857

Kitchen Table Counseling Professional Llc is a Multi-Specialty Clinic/Center based in Gallup, NM and is specialized in Multi-Specialty. Kitchen Table Counseling Professional Llc practices in Gallup, NM. The NPI Number for Kitchen Table Counseling Professional Llc is 1861098857 and holds a License No. (New Mexico).

The current practice location address for Kitchen Table Counseling Professional Llc is 333 E Jefferson St, Gallup, NM and can be reached out via phone at 360-433-7755.

Location: 333 E Jefferson St, Gallup, NM, 87301-5113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861098857
Provider Name
Kitchen Table Counseling Professional Llc
Credential
Provider Entity Type
Organization
Address
333 E Jefferson St, Gallup, NM, 87301-5113
Phone Number
360-433-7755
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
333 E Jefferson St
City
Gallup
State
New Mexico
Zip
87301-5113
Phone Number
360-433-7755
Fax Number
person
Provider Business Mailing Address Details
Address
333 E Jefferson St
City
Gallup
State
New Mexico
Zip
87301-5113
Phone Number
360-433-7755
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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