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Individual

DR. JIM FICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7628A OLD SANTA FE TRL, SANTA FE, NM 87505-9359
(505) 986-8688
Mailing address
PO BOX 9006, SANTA FE, NM 87504-9006
(505) 986-8688

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0073
NM

Other

Enumeration date
07/24/2007
Last updated
07/24/2007
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