Individual
MISTY BLACK CIEPIELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-1273
(505) 332-3453
Mailing address
7513 GLADDEN AVE NE, ALBUQUERQUE, NM 87110-1487
(505) 332-3453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CMH0162211
NM
Other
Enumeration date
03/08/2024
Last updated
03/13/2024
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