Healthcare Provider Details

I. General information

NPI: 1285935676
Provider Name (Legal Business Name): RICHARD D FRANITS M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MARBLE AVE NE
ALBUQUERQUE NM
87106-2058
US

IV. Provider business mailing address

3732 OTRA VEZ CT., NW
ALBUQUERQUE NM
87107-2475
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2475
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: