Individual
NICOLE MARIE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC, ABS
Contact information
Practice address
405 8TH ST NE, RIO RANCHO, NM 87124-0502
(505) 720-0877
Mailing address
405 8TH ST NE, RIO RANCHO, NM 87124-0502
(505) 720-0877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2022-0144
NM
101YM0800X
Mental Health Counselor
Primary
SWB-2022-1184
NM
104100000X
Social Worker
Primary
SWB-2025-1359
NM
1041C0700X
Clinical Social Worker
SWB-2025-1359
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTB-2022-0144
LICENSED SUBSTANCE ABUSE ASSOCIATE
NM
01
—
CTB-2024-0272
ALCOHOL AND DRUG ABUSE COUNSELOR
NM
01
—
SWB-2023-1324
LICENSED MASTER SOCIAL WORKER
NM
Enumeration date
05/05/2022
Last updated
02/03/2026
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