Individual
VICKI SUE CAUCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
472 COURTHOUSE RD, LOS LUNAS, NM 87031
(505) 888-5499
Mailing address
2202 MENAUL BLVD NE, SUITE B, C, D, ALBUQUERQUE, NM 87107
(505) 888-5499
(505) 888-5498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5212
NM
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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