Individual
RACHAEL LUCILLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4321 FULCRUM WAY NE STE B, RIO RANCHO, NM 87144-8410
(505) 771-5397
(505) 867-3514
Mailing address
6717 MESA MARIPOSA PL NW, ALBUQUERQUE, NM 87120-3357
(505) 315-4680
(505) 867-3514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMHC: 0082641
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0213141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39173097
—
NM
Enumeration date
10/03/2006
Last updated
04/21/2021
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