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NPI Code Detail

MEDICARE: MARK FERRIEGEL LPCC

MEDICARE: MARK FERRIEGEL LPCC
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 Counselor0680NM

General Provider Information

NPI Number : 1588725030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK FERRIEGEL LPCC
Provider Business Mailing Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-273-6300
Fax Number : 505-265-7860
Provider Business Practice Location Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-273-6300
Fax Number : 505-265-7860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/28/2017

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