Individual provider · Type 1 NPI

Dominique Fresquez-Pena, STUDENT INTERN

Mental Health Counselor · Rio Rancho, NM

NPI number 1205691706 Active

Practice location

1207 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-5213

Call (505) 994-4100 Map

Fax (505) 994-1229

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205691706

Dominique Fresquez-Pena, STUDENT INTERN's National Provider Identifier is 1205691706, issued on Feb 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rio Rancho, NM. The record was last updated on Feb 14, 2024.