Individual
NIKI LYNN FITZCALLAGHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNCS,LPCC
Contact information
Practice address
925 CALLE ARCO, UNIT 2, SANTA FE, NM 87501-1033
(505) 988-2922
(866) 433-1440
Mailing address
925 CALLE ARCO, UNIT 2, SANTA FE, NM 87501-1033
(505) 988-2922
(866) 433-1440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1941
NM
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R17832
NM
Other
Enumeration date
05/02/2006
Last updated
05/13/2021
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