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Individual

GRETCHEN WACHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1532 CERRILLOS RD, SANTA FE, NM 87505-3512
(505) 490-5653
Mailing address
P.O.611, TESUQUE, NM 87574
(505) 501-0962

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0163211
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44737874
NM
Enumeration date
08/27/2012
Last updated
05/14/2025
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