Individual
RICKIE ISAIAH FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0082
Mailing address
2500 SAWMILL RD APT 424, SANTA FE, NM 87505-5687
(505) 204-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0208751
NM
Other
Enumeration date
02/09/2020
Last updated
02/18/2020
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