Individual
MS. IVETTE Y RABANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC
Contact information
Practice address
618 S CENTRAL AVE, SAFFORD, AZ 85546-2721
(928) 362-7343
Mailing address
3350 S LAKESIDE VIEW DR, TUCSON, AZ 85730-2736
(505) 203-5983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0128951
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-155264
AZ
1041C0700X
Clinical Social Worker
I-07181
NM
1041C0700X
Clinical Social Worker
Primary
LCSW-20760
AZ
Other
Enumeration date
03/25/2014
Last updated
08/23/2023
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