Individual
CHRIS CHICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2441 CABEZON BLVD SE, ALBUQUERQUE, NM 87124-1576
(505) 717-1155
Mailing address
2441 CABEZON BLVD SE, ALBUQUERQUE, NM 87124
(505) 717-1155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0201791
NM
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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