Individual
STEVEN L MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3 HERRADA CT, SANTA FE, NM 87508-8791
(505) 466-2198
Mailing address
3 HERRADA CT, SANTA FE, NM 87508-8791
(505) 466-2198
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2022-0312
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM000221
—
NM
Enumeration date
03/27/2007
Last updated
10/25/2022
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