Individual
MEAGON FAWN FIENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CAMINO JUSTICIA, SANTA FE, NM 87508-8500
(505) 428-3203
Mailing address
28 CAMINO JUSTICIA, SANTA FE, NM 87508-8500
(505) 428-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB20230739
NM
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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