Individual
RAYMOND ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Mailing address
PO BOX 6094, SANTA FE, NM 87502-6094
(505) 438-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3760
NM
101YM0800X
Mental Health Counselor
0087421
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G4107
—
NM
05
—
51804808
—
NM
Enumeration date
01/08/2007
Last updated
09/11/2025
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