Individual
MR. NICHOLAS A PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
37 PLAZA LA PRENSA, SANTA FE, NM 87507-9724
(505) 257-8766
(505) 792-8983
Mailing address
37 PLAZA LA PRENSA, SANTA FE, NM 87507-9724
(505) 257-8766
(505) 476-9272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAD0161441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39272087
—
NM
Enumeration date
01/15/2010
Last updated
11/13/2023
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