Provider Demographics
NPI:1477693638
Name:DELANEY, NIKKI (LPCC)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:FRUSHOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:10600 BROOKLINE PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5863
Mailing Address - Country:US
Mailing Address - Phone:505-890-5720
Mailing Address - Fax:
Practice Address - Street 1:1515 GOLF COURSE RD SE
Practice Address - Street 2:SUITE 201
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2071
Practice Address - Country:US
Practice Address - Phone:505-804-1451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0165961101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional