Individual
MS. ROSANNE MARIE LICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1010 LAS LOMAS RD NE, SUITE 4, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
(505) 246-8706
Mailing address
1010 LAS LOMAS RD NE, SUITE 4, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
(505) 246-8706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0091731
NM
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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