IndividualActive
Keli Dersch-Baldonado, LPCC
NPI 1639291230 · Professional Counselor · Cedar Crest, NM
Provider details
- NPI number
- 1639291230
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- T-0099941 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12124 State Highway 14 N
Cedar Crest, NM 87008-9313
Phone: (505) 250-8119
Fax: (505) 281-3557
Approximate (ZIP-level) locationGet directions
Mailing address
12124 State Highway 14 N
Cedar Crest, NM 87008-9313
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.