Organization
MIKAHLA BEUTLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIKAHLA KRISTIN BEUTLER MA, LPCC (PSYCHOTHERAPIST)
(505) 699-7311
Entity
Organization
Contact information
Practice address
1421 LUISA ST STE C, SANTA FE, NM 87505-4073
(505) 663-6464
Mailing address
PO BOX 727, TESUQUE, NM 87574-0727
(505) 699-7311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
173411
NM
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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