Provider Demographics
NPI:1164960886
Name:ARGUELLO BALDERAS, ROCIO (LMFT)
Entity Type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:ARGUELLO BALDERAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 ELLISON RD NW
Mailing Address - Street 2:STE. B-1 #288
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4407
Mailing Address - Country:US
Mailing Address - Phone:559-736-2197
Mailing Address - Fax:
Practice Address - Street 1:2900 LOUISIANA BLVD NE
Practice Address - Street 2:STE J3
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3532
Practice Address - Country:US
Practice Address - Phone:559-736-2197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NMCMF0211301106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator