Individual
MS. MONA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA, LPCC
Contact information
Practice address
1300 LUISA ST STE 7, SANTA FE, NM 87505-4177
(505) 416-8009
Mailing address
1300 LUISA ST STE 7, SANTA FE, NM 87505-4177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB20240357
NM
Other
Enumeration date
12/08/2023
Last updated
06/03/2024
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