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Patrick Ercolino
School Counselor in T Or C, New Mexico
NPI 1730634056

Patrick Ercolino is a School Counselor based in T Or C, NM and is specialized in School. Patrick Ercolino practices in T Or C, NM. The NPI Number for Patrick Ercolino is 1730634056 and holds a License No. 268273 (New Mexico).

The current practice location address for Patrick Ercolino is 405 N Date St, T Or C, NM and can be reached out via phone at 575-894-7459.

Location: 405 N Date St, T Or C, NM, 87901-2377
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Provider Profile Details
NPI Number
1730634056
Provider Name
Patrick Ercolino
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 N Date St, T Or C, NM, 87901-2377
Phone Number
575-894-7459
Fax Number
Provider Enumeration Date
08/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
268273 01 NM STATE OF NEW MEXICO PED
institution
Provider Business Practice Location Address Details
Address
405 N Date St
City
State
Zip
87901-2377
Phone Number
575-894-7459
Fax Number
person
Provider Business Mailing Address Details
Address
405 N Date St
City
State
Zip
87901-2377
Phone Number
575-894-7459
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
268273 (New Mexico)
Definition
Definition to come...
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