| Doctor Name: | MS. KATHLEEN LUELLEN CHABOT |
| NPI Number: | 1912201161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | C1498 |
| Business Practice Address: | 6666 4th St Nw Suite D Los Ranchos, NM - 871076144 |
| Business Phone Number: | 5059340934 |
| Business Fax Number: | |
| Mailing Address: | 4608 Almeria Dr Nw, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871201840 |
| Phone Number: | 5059340934 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2011 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1498 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |