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Individual

THERESA LINDSEY CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADAC, CPSW

Contact information

Practice address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 595-1607
Mailing address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 595-1607

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CBT-2025-0780
NM
172V00000X
Community Health Worker
175T00000X
Peer Specialist
1108
NM

Other

Enumeration date
04/30/2021
Last updated
12/30/2025
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