Reagan Kiele, Tracy Ann

Reagan Kiele, Tracy Ann is an individual health care provider with primary practice located at 1400 Sudderth , Ruidoso NM 88345. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Reagan Kiele, Tracy Ann can be contacted via phone (575) 630-0571.

Contact Information

Primary practice address
1400 Sudderth Ruidoso NM 88345
Phone: (575) 630-0571
Fax: (575) 630-0574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 422 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0147561 New Mexico

Profile Details

NPI number 1790714822
LBN Legal business name Reagan Kiele, Tracy Ann
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Mar 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714822 NPPES
New Mexico MEDICAID 18677037

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