Individual
CHERYL AIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1096 MECHEM DR STE 309B, RUIDOSO, NM 88345-7057
(575) 937-1214
(575) 258-9445
Mailing address
1096 MECHEM DR STE 309, RUIDOSO, NM 88345-7057
(575) 937-1214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4704
NM
101YM0800X
Mental Health Counselor
Primary
4704
NM
101YP2500X
Professional Counselor
4704
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N3786
—
NM
Enumeration date
11/20/2006
Last updated
03/16/2011
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