Individual
CHERYL SCIACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1919 5TH ST, SUITE M AND N, SANTA FE, NM 87505-5402
(505) 660-3484
Mailing address
15 AVENIDA ALDEA, SANTA FE, NM 87507-9443
(505) 660-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0107701
NM
Other
Enumeration date
09/30/2008
Last updated
03/25/2014
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