Search › New Mexico › 1041C0700X
Tristan Keller, LISW
NPI 1053346171 · on the registry since 2006
Practice
- Address
- 2025 E Aztec Ave
Gallup, NM 87301 - Phone
- (505) 863-3828
- Fax
- (505) 863-6612
- Organisation at this address
- Presbyterian Medical Services
Pms Western Nm Behavioral HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico