Individual
MICHAEL DENNIS CUGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, NCAC II
Contact information
Practice address
1335 GUSDORF RD STE E, TAOS, NM 87571-5227
(575) 758-0670
(575) 751-3557
Mailing address
1335 GUSDORF RD STE E, TAOS, NM 87571-5227
(575) 758-0670
(575) 751-3557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0100891
NM
101YM0800X
Mental Health Counselor
Primary
0100891
NM
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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