Individual
DOMINIQUE FRESQUEZ-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT INTERN
Contact information
Practice address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
(505) 994-1229
Mailing address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
(505) 994-1229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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