Individual
ELIJAH CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LPC
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(979) 492-0055
Mailing address
405 SUNSET ST, SANTA FE, NM 87501-1924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10487
LA
101YM0800X
Mental Health Counselor
Primary
CMH0202161
NM
101YM0800X
Mental Health Counselor
T-CTL0198311
NM
Other
Enumeration date
09/24/2018
Last updated
07/10/2025
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