Provider Demographics
NPI:1679061683
Name:CAPUTO, CATHARINE CONNOR (LPCC)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:CONNOR
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CATHARINE
Other - Middle Name:C
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:223 N GUADALUPE ST UNIT 308
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-1868
Mailing Address - Country:US
Mailing Address - Phone:505-660-5601
Mailing Address - Fax:
Practice Address - Street 1:150 WASHINGTON AVE STE 267
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2073
Practice Address - Country:US
Practice Address - Phone:505-660-5601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0214841101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCCMH0214841OtherNEW MEXICO COUNSELING AND THERAPY PRACTICE BOARD