Individual
MR. CHRISTOPHER H WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1215 GUSDORF RD STE A, TAOS, NM 87571-6914
(575) 770-7139
Mailing address
18 JMA RANCH RD, EL PRADO, NM 87529-5010
(575) 770-7139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09715
NM
324500000X
Substance Abuse Rehabilitation Facility
X-09715
NM
Other
Enumeration date
08/28/2016
Last updated
09/18/2023
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