Provider Demographics
NPI:1902604440
Name:CHI, UNA (LMHC, PHD)
Entity type:Individual
Prefix:MS
First Name:UNA
Middle Name:
Last Name:CHI
Suffix:
Gender:
Credentials:LMHC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:LA LUZ
Mailing Address - State:NM
Mailing Address - Zip Code:88337-0431
Mailing Address - Country:US
Mailing Address - Phone:971-275-5841
Mailing Address - Fax:
Practice Address - Street 1:906 VIRGINIA AVE STE B
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6763
Practice Address - Country:US
Practice Address - Phone:575-415-4950
Practice Address - Fax:575-377-8254
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCBT-2025-0077101YM0800X
NMCTB-2025-0077103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling