Individual
RICARDO SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 891-1583
Mailing address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 891-1583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0164571
NM
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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