Kitchen Table Counseling Professional Llc

Clinical Social Worker · Gallup, NM

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At a glance

333 E Jefferson St, Gallup, NM 87301-5113

NPPES record updated Dec 7, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

333 E Jefferson St
Gallup, NM 87301-5113
Professional details: NPI, taxonomy & registry record
NPI1861098857
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Dec 7, 2020
Record updated
Dec 7, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

251B00000X

Specialty details in registry

251S00000X

Specialty details in registry

261QM1300X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

333 E Jefferson St
Gallup, NM 87301-5113
Phone
(360) 433-7755
Mailing address
333 E JEFFERSON ST

GALLUP, NM 873015113
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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