Individual
KERRI A HUCHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 LOS LENTES RD SE, LOS LUNAS, NM 87031-7052
(505) 944-6626
(505) 359-3239
Mailing address
PO BOX 3372, LOS LUNAS, NM 87031-3372
(505) 944-6626
(505) 359-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822611640
—
NM
Enumeration date
03/08/2022
Last updated
03/08/2022
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