Organization
INTEGRATIVE PSYCHOTHERAPY & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHAMBERS CHRISTOPHER PH.D. (CO-OWNER)
(406) 548-8571
Entity
Organization
Contact information
Practice address
1550 AVENIDA RINCON UNIT 208, SANTA FE, NM 87506-3522
(406) 548-8571
Mailing address
1550 AVENIDA RINCON UNIT 208, SANTA FE, NM 87506-3522
(406) 548-8571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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