Individual provider · Type 1 NPI

Peter C. Fisk, PhD, LMHC

Counselor · Los Lunas, NM

NPI number 1255577797 Active

Practice location

303 Luna St SE
Los Lunas, NM 87031-9277

Fax (505) 565-1620

Mailing address

16 Calle Del Sol
Placitas, NM 87043-9209

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XT-0118651 (NM)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255577797

Peter C. Fisk, PhD, LMHC's National Provider Identifier is 1255577797, issued on Jan 6, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Lunas, NM. The record was last updated on Jan 6, 2009.