Individual
JANICE L CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5922
(575) 758-7263
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0146101
NM
Other
Enumeration date
06/08/2010
Last updated
01/17/2012
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