Organization
VANESSA BRAUGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BRAUGHT LPCC (OWNDER)
(505) 219-1973
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE STE E1, RIO RANCHO, NM 87124-1068
(505) 219-1973
Mailing address
317 VALLE ALTO DR NE, RIO RANCHO, NM 87124-4559
(505) 514-9532
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCMH0211901
NEW MEXICO REGULATION AND LICENSING DEPARTMENT
NM
Enumeration date
09/26/2021
Last updated
09/26/2021
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