Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kali Suzanne Nan Petties, T-CTL0220451

Individual provider Counselor · NPI 1639210404

Kali Suzanne Nan Petties, T-CTL0220451 is a Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
Specialties on file
2

Practice location Address checks out

119 Industrial Ave NE
Albuquerque, NM 87107-2283
Phone: (505) 345-2127
Fax: (505) 345-2127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X · Licence T-CTL0220451 (NM)

Record details

NPI number1639210404
Entity typeIndividual (Type 1)
GenderFemale
Credentials T-CTL0220451
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

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