MEDICARE: SUE HUTCHINS LADAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0105961	NM

General Provider Information

NPI Number	:	1083804744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUE HUTCHINS LADAC

Provider Business Mailing Address
First Line	:	902 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4604
Country	:	US
Telephone Number	:	505-526-9002
Fax Number	:	505-526-9110

Provider Business Practice Location Address
First Line	:	125 WYATT DR
Second Line	:	B
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2924
Country	:	US
Telephone Number	:	505-526-9002
Fax Number	:	505-526-9110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

Similar Medicare Providers

1316209000 — MILES TAYLOR
Practice Location Address:

2924 SAPPHIRE SANDS CT
N LAS VEGAS, NV
89031-0571

Practice Phone: 702-649-0649
Practice Fax:

1447693411 — MELVIN WASHINGTON
Practice Location Address:

2924 SAPPHIRE SANDS CT
N LAS VEGAS, NV
89031-0571

Practice Phone: 702-463-0110
Practice Fax: 702-463-0166

1356131593 — COMPREHENSIVE MEDICAL GROUP LLC
Practice Location Address:

3867 S VALLEY VIEW BLVD STE 3
LAS VEGAS, NV
89103-2924

Practice Phone: 702-758-7628
Practice Fax:

1275486177 — DANIELLE SIARRI
Practice Location Address:

2924 VIGILANTE CT
NORTH LAS VEGAS, NV
89081-6401

Practice Phone: 510-798-1486
Practice Fax:

1548192982 — RICARDO RODRIGUEZ
Practice Location Address:

1675 HICKORY LOOP
LAS CRUCES, NM
88005-6587

Practice Phone: 575-652-3155
Practice Fax:

1134051584 — IRMA MEDINA
Practice Location Address:

1675 HICKORY LOOP
LAS CRUCES, NM
88005-6587

Practice Phone: 575-652-3155
Practice Fax:

Directions to “ SUE HUTCHINS LADAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.