Individual
PATRICK FICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 VILLA LOS RANCHOS NE, ALBUQUERQUE, NM 87113-1070
(505) 690-0046
Mailing address
1408 VILLA LOS RANCHOS NE, ALBUQUERQUE, NM 87113
(505) 690-0046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0182671
NM
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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