Individual
MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1107
(505) 821-3628
(505) 856-7103
Mailing address
7716 TRAIL RIDGE RD NE, ALBUQUERQUE, NM 87109-3213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0080431
NM
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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