Individual
MRS. AFTON ELIZABETH FISK SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LPAT, ATR-BC
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 160, ALBUQUERQUE, NM 87120-2682
(505) 444-4127
Mailing address
6330 RIVERSIDE PLAZA LN NW STE 160, ALBUQUERQUE, NM 87120-2682
(505) 633-8103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0201721
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98336843
—
NM
Enumeration date
01/27/2020
Last updated
06/22/2022
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