Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Juliet C Kinkade-Black, MFTI, PCCI

Individual provider Mental Health Counselor · NPI 1912253519

Mrs. Juliet C Kinkade-Black, MFTI, PCCI is a Mental Health Counselor in Albuquerque, New Mexico. Licensed in California and New Mexico. Registered with an NPI since 2012.

Licensed in
CA, NM
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

1709 Moon St NE
Albuquerque, NM 87112-3935
Phone: (505) 271-0329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 0181841 (NM)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMF76250 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PCCI788 (CA)

Record details

NPI number1912253519
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFTI , PCCI
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

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