Individual
RITA BRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LMHC
Contact information
Practice address
1460 TRINITY DR STE 4, LOS ALAMOS, NM 87544-4107
(505) 983-8225
Mailing address
10 ARROYO LN APT B, LOS ALAMOS, NM 87544-3213
(505) 695-9674
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0191181
NM
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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