Individual
DANIELLE JULIET FICHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 ALAMEDA PARK DR, NE, ALBUQUERQUE, NM 87113
(505) 842-9911
(505) 254-9911
Mailing address
1264 PEPPOLI LOOP SE, RIO RANCHO, NM 87124-8782
(505) 712-2190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10404
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356775456
—
NM
Enumeration date
08/26/2013
Last updated
12/02/2019
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