Individual
MR. JAMES MICHAEL MASICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1033 SAWMILL RD, BERNALILLO, NM 87004-6553
(505) 310-2371
Mailing address
1033 SAWMILL RD, BERNALILLO, NM 87004-6553
(505) 310-2371
(505) 888-1683
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0105301
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53374045
—
NM
Enumeration date
01/29/2007
Last updated
04/13/2017
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