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Mr. Kenneth Kriss Goodrow II, MS,LPCC,NCC,CCMHC
Community/Behavioral Health Agency in Corrales, New Mexico
NPI 1932200417

Kenneth Kriss Goodrow II is a Community/Behavioral Health Agency based in Corrales, NM. Kenneth Kriss Goodrow II practices in Corrales, NM and has the professional credentials of MS,LPCC,NCC,CCMHC. The NPI Number for Kenneth Kriss Goodrow II is 1932200417 and holds a License No. 0078151 (New Mexico).

The current practice location address for Kenneth Kriss Goodrow II is 3949 Corrales Rd # 240B, Corrales, NM and can be reached out via phone at 505-239-7459 and via fax at 505-899-4060.

Location: 3949 Corrales Rd # 240B, Corrales, NM, 87048-9348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932200417
Provider Name
Kenneth Kriss Goodrow II
Credential
MS,LPCC,NCC,CCMHC
Provider Entity Type
Individual
Gender
Male
Address
3949 Corrales Rd # 240B, Corrales, NM, 87048-9348
Phone Number
505-239-7459
Fax Number
505-899-4060
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09881522 05 NM
institution
Provider Business Practice Location Address Details
Address
3949 Corrales Rd # 240B
City
Corrales
State
New Mexico
Zip
87048
Phone Number
505-239-7459
Fax Number
505-899-4060
person
Provider Business Mailing Address Details
Address
3949 Corrales Rd # 240B
City
Corrales
State
New Mexico
Zip
87048
Phone Number
505-239-7459
Fax Number
505-899-4060
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
0078151 (New Mexico)
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.
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