Individual
GABRIEL I RAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
01 SAGEBRUSH ROAD, ISLETA, NM 87022-0000
(505) 869-4863
(505) 869-4881
Mailing address
PO BOX 640, ISLETA, NM 87022-0640
(505) 869-4863
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH3520
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3520
LICENSE
NM
Enumeration date
10/16/2006
Last updated
03/22/2019
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