Organization
7 CIRCLES JUSTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA GUTIERREZ LCSW (SOCIAL WORKER)
(505) 425-9477
Entity
Organization
Contact information
Practice address
127 BRIDGE ST, LAS VEGAS, NM 87701-3426
(505) 425-9477
Mailing address
127 BRIDGE ST, LAS VEGAS, NM 87701-3426
(505) 425-9477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C09343
NM
251S00000X
Community/Behavioral Health Agency
C09343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60428066
—
NM
Enumeration date
05/02/2017
Last updated
05/02/2017
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