Individual
MR. JOHN G KUTINAC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA PA LPCC
Contact information
Practice address
1155 S TELSHOR BLVD, STE 200, LAS CRUCES, NM 88011-1009
(505) 522-8002
(505) 522-8027
Mailing address
1155 S TELSHOR BLVD, STE 200, LAS CRUCES, NM 88011-1009
(505) 522-8002
(505) 522-8027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1157
NM
103T00000X
Psychologist
PA9501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27146
—
NM
Enumeration date
01/04/2006
Last updated
09/11/2025
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