Individual
WHITNEE NICOLE NICLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/21/2011
Last updated
01/03/2018
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