Kelly Aileen Tibbets

NPI #1235426081 in Clovis, New Mexico

Provider Information

NPI Number: 1235426081
Entity Type: Individual
Name: Kelly Aileen Tibbets
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 30, 2011
Last Updated: Jun 30, 2011

Practice Location

Address: 121 TOWNSGATE PLZ
City: Clovis
State: New Mexico
ZIP Code: 88101-3714
Phone: (575) 742-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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