Individual
CHASE MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 BARBARA LOOP SE, RIO RANCHO, NM 87124-1039
(505) 264-6532
Mailing address
4011 BARBARA LOOP SE, RIO RANCHO, NM 87124-1039
(505) 264-6532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15146810
—
NM
Enumeration date
08/15/2022
Last updated
08/15/2022
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