Individual
NICHOLAS AMIRANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
4100 BARBARA LOOP SE, RIO RANCHO, NM 87124-1000
(505) 702-8547
Mailing address
1804 GALLINAS RD NE, RIO RANCHO, NM 87144-2512
(505) 417-5518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CBT-2022-0316
NM
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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