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Keyanna J Carson

Peer Specialist in Albuquerque, NM. Individual provider (NPI-1).

NPI number1801523923
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1801523923
Entity type
Individual (NPI-1)
Name
Keyanna J Carson
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 8, 2022
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist1402NMYes

Practice location

13139 Central Ave Ne
Albuquerque, NM 87123-3031

Phone 505-595-1607

Mailing address

13139 Central Ave Ne
Albuquerque, NM 87123-3031

Phone 505-595-1607

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