Individual
LEIA VISCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2218 SOUTHERN BLVD SE STE 14, RIO RANCHO, NM 87124-3750
(505) 994-0161
Mailing address
2218 SOUTHERN BLVD SE STE 14, RIO RANCHO, NM 87124-3750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0110221
NM
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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