Individual
ANDREA LYNETTE RASCON-THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 269-7356
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 269-7356
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08658
NM
1041S0200X
School Social Worker
X-08351
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42678340
—
NM
01
—
X-08351
STATE OF NEW MEXICO
NM
Enumeration date
09/04/2013
Last updated
01/02/2025
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