Individual
JON EDWARD RABKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1424 DEBORAH RD SE, SUITE # 101, RIO RANCHO, NM 87124-1058
(505) 896-0928
Mailing address
3505 CALLE CUERVO NW, APT. #338, ALBUQUERQUE, NM 87114-9211
(505) 306-9522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0076941
NM
101YM0800X
Mental Health Counselor
Primary
0076941
NM
Other
Enumeration date
06/22/2006
Last updated
07/26/2017
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