Individual
NICOLE RIVERA-BRASTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 526-6682
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0160171
NM
106H00000X
Marriage & Family Therapist
Primary
CMF0165661
NM
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
08/20/2009
Last updated
03/04/2026
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