| Doctor Name: | SERGIO CIANCI |
| NPI Number: | 1013310366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 0166141 |
| Business Practice Address: | 750 Morris Rd Se Los Lunas, NM - 870315242 |
| Business Phone Number: | 5058662318 |
| Business Fax Number: | |
| Mailing Address: | 2551 Coors Blvd Nw, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871201213 |
| Phone Number: | 5053383320 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2014 |
| NPI Last Update Date: | 06/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0166141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |