Organization
RIO RANCHO FAMILY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE CHAVEZ (OFFICE MANAGER)
(505) 814-1460
Entity
Organization
Contact information
Practice address
333 RIO RANCHO DR NE STE 205, RIO RANCHO, NM 87124-1456
(505) 814-1460
Mailing address
1340 MONTERREY RD NE, RIO RANCHO, NM 87144-1599
(505) 814-1460
(505) 985-7433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0145701
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245492446
NPI
NM
01
—
1992911804
NPI
NM
Enumeration date
03/20/2017
Last updated
03/20/2017
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