Individual
MR. RICHARD B HIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CCMH1706
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78523362
—
NM
Enumeration date
12/04/2006
Last updated
09/02/2022
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