Individual
MR. WILLIAM WALLACE RAABE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
3821 W COLLEGE LN, HOBBS, NM 88242-9126
(575) 392-2231
(575) 392-6484
Mailing address
3821 W COLLEGE LN, HOBBS, NM 88242-9126
(575) 392-2231
(575) 392-6484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0103031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000463000
—
NM
01
—
800521083
MEDICARE GROUP NUMBER
NM
Enumeration date
02/10/2009
Last updated
02/10/2009
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