# RIO RANCHO FAMILY COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780125989
- **Authorized official:** NATALIE CHAVEZ (OFFICE MANAGER)
- **Authorized official phone:** (505) 814-1460

## Contact information

- **Practice address:** 333 RIO RANCHO DR NE STE 205, RIO RANCHO, NM 87124-1456
- **Practice address phone:** (505) 814-1460
- **Mailing address:** 1340 MONTERREY RD NE, RIO RANCHO, NM 87144-1599
- **Mailing address phone:** (505) 814-1460
- **Mailing address fax:** (505) 985-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0145701 | NM | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1245492446 | NPI | NM |
| 01 | — | 1992911804 | NPI | NM |
