Individual
ALICIA CANCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W APACHE ST, FARMINGTON, NM 87401-5835
(505) 325-5321
Mailing address
313 W APACHE ST, FARMINGTON, NM 87401-5835
(505) 325-5321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0960
NM
Other
Enumeration date
01/02/2026
Last updated
01/22/2026
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