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NPI Code Detail

MEDICARE: CARISSA ROMERO LMHC

MEDICARE: CARISSA ROMERO LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCTB-2024-0312NM

General Provider Information

NPI Number : 1205346137
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARISSA ROMERO LMHC
Provider Business Mailing Address
First Line : 4201 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-4808
Country : US
Telephone Number : 505-717-1332
Fax Number :
Provider Business Practice Location Address
First Line : 4201 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-4808
Country : US
Telephone Number : 505-717-1332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2017
Last Update Date : 06/09/2026

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Directions to “ CARISSA ROMERO LMHC” Practice Location

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