Mukta Kaur Khalsa, PMHC, LADAC
Counselor, Mental Health in Espanola, NM. Individual provider (NPI-1).
NPI number1669941209
StatusActive
Last updated in NPPESNov 13, 2018
Details
- NPI
- 1669941209
- Entity type
- Individual (NPI-1)
- Name
- Mukta Kaur Khalsa
- Credential
- PMHC, LADAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2018
- Last updated
- Nov 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0397 | NM | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CAD3416 | NM |
Other names
- Mukta Kaur Khalsa (Professional Name)
Practice location
1 Ram Das Guru PlEspanola, NM 87532-8213
Phone 505-699-6505
Mailing address
Po Box 94508Albuquerque, NM 87199-4508
Phone 505-384-7352 · Fax 505-274-7338
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