Individual
MS. MARIELA HISCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC LADAC
Contact information
Practice address
4135 MONTGOMERY BLVD NE, STE C, ALBUQUERQUE, NM 87109
(505) 262-9393
(505) 262-9393
Mailing address
PO BOX 51957, ALBUQUERQUE, NM 87181-1957
(505) 262-9393
(505) 262-9393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3769
NM
101YM0800X
Mental Health Counselor
2518
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064501
CIGNA
NM
01
—
20104772
PRESBYTERIAN
NM
01
—
NM101090
VALUE OPTIONS
NM
05
—
Z3615
—
NM
Enumeration date
12/11/2006
Last updated
09/11/2025
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