Individual
MS. REBA JUNE SERAFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
612 ORTEGA RD NW, LOS RANCHOS, NM 87114-1424
(505) 220-2449
Mailing address
612 ORTEGA RD NW, LOS RANCHOS, NM 87114-1424
(505) 220-2449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
T-0141091
NM
101YM0800X
Mental Health Counselor
Primary
0142441
NM
Other
Enumeration date
08/01/2011
Last updated
09/23/2013
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