Individual
LARISSA RASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3797
(505) 994-0161
Mailing address
1613 EVELYN DR NE, RIO RANCHO, NM 87144-5455
(505) 785-8706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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