Individual
NATALIE ROCHELLE TAVITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 CANYON LN, CEDAR CREST, NM 87008-9458
(505) 575-0704
Mailing address
15 CANYON LN, CEDAR CREST, NM 87008-9458
(505) 575-0704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09602
NM
Other
Enumeration date
04/28/2011
Last updated
09/15/2025
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