Provider Demographics
NPI:1588742852
Name:VEIT, KATHLEEN ANNE (MS LPCC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANNE
Last Name:VEIT
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:CIMARRON
Mailing Address - State:NM
Mailing Address - Zip Code:87714-0151
Mailing Address - Country:US
Mailing Address - Phone:505-376-2166
Mailing Address - Fax:
Practice Address - Street 1:151 MONROE AV
Practice Address - Street 2:
Practice Address - City:CIMARRON
Practice Address - State:NM
Practice Address - Zip Code:87714-0151
Practice Address - Country:US
Practice Address - Phone:505-376-2166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2169101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM59202386Medicaid
CA354292OtherMENTAL HEALTH NETWORK
124407OtherVALUE OPTIONS
PROVP24479OtherMOLINA HEALTHCARE
28449OtherCIGNA HEALTH CARE
NM2087OtherMESA MENTAL HEALTH
NMNM01R62TOtherBLUE CROSS BLUE SHIELD
NMNM100085OtherVALUE OPTIONS OF NEW MEXI