Maryanne Esabella Miceli
Counselor, Addiction (Substance Use Disorder) in Albuquerque, NM. Individual provider (NPI-1).
NPI number1184454530
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1184454530
- Entity type
- Individual (NPI-1)
- Name
- Maryanne Esabella Miceli
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2024
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CTB-2025-0871 | NM | Yes |
| 175T00000X | Peer Specialist | 1889 | NM | |
| 172V00000X | Community Health Worker | – | NM |
Practice location
13139 Central Ave NeAlbuquerque, NM 87123-3031
Phone 505-459-5054
Mailing address
13139 Central Ave NeAlbuquerque, NM 87123-3031
Phone 505-459-5054
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All 291 Addiction (Substance Use Disorder) Counselor providers in Albuquerque · All 29,333 providers in Albuquerque
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