Individual
VANESSA BRAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 404-0554
(505) 393-4525
Mailing address
500 UNSER BLVD SE STE 103, RIO RANCHO, NM 87124-4660
(505) 404-0554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-0191171
NM
101YP2500X
Professional Counselor
Primary
CCMH0211901
NM
Other
Enumeration date
08/31/2017
Last updated
12/16/2020
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