MEDICARE: CHAPARRAL COUNSELING LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447909841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAPARRAL COUNSELING LLC

Provider Business Mailing Address
First Line	:	PO BOX 477
Second Line	:
City	:	CERRILLOS
State	:	NM
Zip	:	87010-0477
Country	:	US
Telephone Number	:	562-508-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 MIGUEL CHAVEZ RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-6914
Country	:	US
Telephone Number	:	562-508-6353
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	SARAH BARNARD
Credential	:
Telephone Number	:	562-508-6353

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	01/20/2025

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Directions to “CHAPARRAL COUNSELING LLC ” Practice Location

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