Individual
MR. RICHARD CASTILLO FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, NCC
Contact information
Practice address
500 GOLD AVE SW FL 11, ALBUQUERQUE, NM 87102-3118
(505) 385-4284
(505) 248-7298
Mailing address
6884 AUGUSTA HILLS DR NE, RIO RANCHO, NM 87144-8605
(505) 385-4284
(505) 248-7298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0074081
NM
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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