Individual
DR. REBECCA EVANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WILDWOOD LN, PERALTA, NM 87042-8451
(505) 585-1958
Mailing address
7 WILDWOOD LN, PERALTA, NM 87042-8451
(505) 585-1958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB20250556
NM
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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