Individual
MARLAYNA ELIZABETH RATTANAPOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4940 CORRALES RD, SUITE 300, CORRALES, NM 87048-8673
(858) 414-3651
Mailing address
4231 BALBOA AVE # 130, SAN DIEGO, CA 92117-5504
(858) 414-3651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T - 0121911
NM
101YP2500X
Professional Counselor
Primary
0147991
NM
101YP2500X
Professional Counselor
10634
CA
101YP2500X
Professional Counselor
T-0142131
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36384267
—
NM
Enumeration date
04/02/2009
Last updated
02/23/2023
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