Individual provider · Type 1 NPI
Richard Castillo Fajardo, MA, LPCC, NCC
Mental Health Counselor · Albuquerque, NM
NPI number
1790955375
Active
Practice location
500 Gold Ave SW Fl 11
Albuquerque, NM 87102-3118
Fax (505) 248-7298
Mailing address
6884 Augusta Hills Dr NE
Rio Rancho, NM 87144-8605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0074081 (NM) |
Mental Health Counselor: Definition to come...
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About NPI 1790955375
Richard Castillo Fajardo, MA, LPCC, NCC's National Provider Identifier is 1790955375, issued on Mar 10, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 10, 2008.