Individual provider · Type 1 NPI

Maryanne Esabella Miceli

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1184454530 Active

Practice location

13139 Central Ave NE
Albuquerque, NM 87123-3031

Call (505) 459-5054 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2025-0871 (NM)
Peer Specialist 175T00000X1889 (NM)
Community Health Worker 172V00000XNone listed

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About NPI 1184454530

Maryanne Esabella Miceli's National Provider Identifier is 1184454530, issued on Aug 1, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 4, 2026.