Individual
RICHARD MIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 454-8265
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0167621
NM
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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