Individual
CAPRICE R PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPCC, LADAC
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
209 SILENT SPRING DR NE, RIO RANCHO, NM 87124-4577
(505) 307-1716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0131641
NM
101YP2500X
Professional Counselor
Primary
CTB-2022-0906
NM
Other
Enumeration date
09/16/2009
Last updated
11/17/2025
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