TOD L DICECCO

SANTA FE, NM
NPI1225230097
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NM  0119891)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: NC  9113)
101YM0800X Counselor, Mental Health
(Licence: NC  9113)
Enumeration Date2007-06-04
Last Update Date2012-10-15
Business Address
-- TOD L DICECCO LPCC
1418 LUISA ST
SANTA FE, NM 87505-4091
Phone number: 505-490-1984
Mailing Address
-- TOD L DICECCO LPCC
PO BOX 8839
SANTA FE, NM 87504-8839
Phone number: 505-490-1984