Individual
PETER C. FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMHC
Contact information
Practice address
303 LUNA ST SE, LOS LUNAS, NM 87031-9277
(505) 565-1619
(505) 565-1620
Mailing address
16 CALLE DEL SOL, PLACITAS, NM 87043-9209
(505) 565-1619
(505) 565-1620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0118651
NM
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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