Individual
MICHAEL LEE CHLUMSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
607 ZECCA DR, GALLUP, NM 87301-4848
(505) 722-4015
Mailing address
607 ZECCA DR, GALLUP, NM 87301-4848
(505) 722-4015
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
254414
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61486787
—
NM
Enumeration date
04/17/2007
Last updated
07/08/2007
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