Individual
MIKALO RISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
387A COUNTY ROAD 84, SANTA FE, NM 87506-7037
(505) 614-9161
Mailing address
387A COUNTY ROAD 84, SANTA FE, NM 87506-7037
(505) 614-9161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/06/2025
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