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Individual

MIKAHLA KRISTEN BEUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1421 LUISA ST STE B, SANTA FE, NM 87505-4073
(505) 699-7311
Mailing address
PO BOX 727, TESUQUE, NM 87574-0727
(505) 699-7311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0173411
NM

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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