MEDICARE: RICKIE PALMER 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
1	101YM0800X	Mental Health Counselor	0178511	NM

General Provider Information

NPI Number	:	1659738979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICKIE PALMER LPCC

Provider Business Mailing Address
First Line	:	500 MARQUETTE AVE NW
Second Line	:	SUITE 1234
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-5340
Country	:	US
Telephone Number	:	505-350-5139
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MARQUETTE AVE NW
Second Line	:	SUITE 1234
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-5340
Country	:	US
Telephone Number	:	505-350-5139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2016
Last Update Date	:	01/31/2025

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Directions to “ RICKIE PALMER LPCC” Practice Location

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