Individual
DANIELE C KOKIDAJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
7930 RANCHO DE PALOMAS NE, ALBUQUERQUE, NM 87109-6078
(505) 321-4160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0147221
NM
Other
Enumeration date
07/26/2011
Last updated
10/09/2012
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